Individual
MRS. MEGAN LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
718 WOLF BRANCH CIR, DILLON, SC 29536-7328
(843) 506-5123
Mailing address
718 WOLF BRANCH CIR, DILLON, SC 29536-7328
(843) 506-5123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.3235 PTA
SC
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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