Individual
JILL DENISE LOVEJOY-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
2021 SMITH FLAT RD, SUITE B, PLACERVILLE, CA 95667-5038
(530) 409-0677
(530) 295-8266
Mailing address
2021 SMITH FLAT RD, SUITE B, PLACERVILLE, CA 95667-5038
(530) 409-0677
(530) 295-8266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2743
CA
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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