Individual
JESSIE LAZZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 VILLA DR, DAPHNE, AL 36526-4653
(251) 621-4200
Mailing address
912 VAN AVE, APT 1536, DAPHNE, AL 36526-8620
(251) 978-5136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1-0782
AL
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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