Individual
LABRINA F JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
915 S JACKSON ST, MONTGOMERY, AL 36104-5732
(334) 229-7627
Mailing address
5740 ARBOR STATION RD APT D, MONTGOMERY, AL 36117-4673
(334) 531-0158
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
865
AL
Other
Enumeration date
03/21/2007
Last updated
05/29/2008
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