Organization
EVERLASTING TOUCH THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY JONELL JACKSON B.S. (EARLY INTERVENTIONIST)
(504) 884-7575
Entity
Organization
Contact information
Practice address
3079 COLONIAL WAY APT A, ATLANTA, GA 30341-5327
(504) 884-7575
(404) 228-4508
Mailing address
3079 COLONIAL WAY APT A, ATLANTA, GA 30341-5327
(504) 884-7575
(404) 228-4508
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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