Individual
LYNDZIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9127 W THUNDERBIRD RD, BLDG 1 SUITE 101, PEORIA, AZ 85381-4887
(480) 222-0655
(480) 222-1457
Mailing address
PO BOX 269084, OKLAHOMA CITY, OK 73126-9084
(623) 398-8072
(623) 398-8235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10438
AZ
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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