IDA DESIREE JACKSON

Physical Therapy Assistant

NPI: 1639957434Individual

Specialties, Licenses & Credentials

Physical Therapy AssistantPrimary

Physical Therapy Assistant

Code: 225200000X

PTA002042(GA)

Contact & Hours

Address: 291 PLANTATION CENTRE DR N APT 705
MACON, GA 31210
Phone: (478) 447-7052

Location

Practice Location

291 PLANTATION CENTRE DR N APT 705, MACON, GA

Quick Facts

NPI: 1639957434
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile