Individual
SUZANNE SAMMONS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5856 S FLAMINGO RD, COOPER CITY, FL 33330-3238
(954) 252-6014
(954) 252-6015
Mailing address
2579 JARDIN DRIVE, WESTON, FL 33327
(954) 594-0299
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT6206
FL
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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