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Theresa Jackson, LMT
NPI 1841486289 · on the registry since 2007
Practice
- Address
- 1803 Boulevard
Jacksonville, FL 32206 - Phone
- (904) 236-4619
- Fax
- (904) 236-6187
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-09-19
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