Individual
MRS. BOBBI JEAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2031 AVONDALE ST, HUMBOLDT, TN 38343-1810
(731) 784-3655
Mailing address
268 HOPPER BARKER RD, JACKSON, TN 38305-9462
(731) 668-9989
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3108
TN
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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