SearchFlorida174400000X

Mildred Lee-Jackson, PT

NPI 1780859728 · on the registry since 2008 · sole proprietor

Practice

Address
178 Howard St
Niceville, FL 32578
Phone
(850) 678-6436

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida