Individual
JACKSON LEE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3216 BROOKHAVEN CLUB DR, FARMERS BRANCH, TX 75234-3712
(704) 281-5341
Mailing address
3216 BROOKHAVEN CLUB DR, FARMERS BRANCH, TX 75234-3712
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2108770
TX
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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