Individual
LEAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14302 NEMO CT, CORPUS CHRISTI, TX 78418-6238
(361) 949-9898
(361) 949-9897
Mailing address
14302 NEMO CT, CORPUS CHRISTI, TX 78418-6238
(361) 949-9898
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2148986
TX
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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