Individual
ANNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1155 35TH LN, STE 100, VERO BEACH, FL 32960-6521
(772) 569-2330
(772) 569-2630
Mailing address
1155 35TH LN, STE 100, VERO BEACH, FL 32960-6521
(772) 569-2330
(772) 569-2630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC4963
SC 4963
SC
Enumeration date
02/19/2008
Last updated
05/29/2014
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