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Mrs. Alicia Ladonna Jackson, PT
Specialist in Northport, Alabama
NPI 1013071745

Alicia Ladonna Jackson is a Specialist based in Northport, AL. Alicia Ladonna Jackson practices in Northport, AL and has the professional credentials of PT. The NPI Number for Alicia Ladonna Jackson is 1013071745 and holds a License No. (Alabama).

The current practice location address for Alicia Ladonna Jackson is 3630 Northbrook Dr, Northport, AL and can be reached out via phone at 205-330-1001. You can also correspond with Alicia Ladonna Jackson through the mailing address at 4206 REVERE WAY, NORTHPORT, AL - 35475-4421 (mailing address contact number: 205-330-0642).

Location: 3630 Northbrook Dr, Northport, AL, 35475-4421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013071745
Provider Name
Alicia Ladonna Jackson
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
3630 Northbrook Dr, Northport, AL, 35475-4421
Phone Number
205-330-1001
Fax Number
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9712 01 AL PHYSICAL THERAPY LICENSE
institution
Provider Business Practice Location Address Details
Address
3630 Northbrook Dr
City
Northport
State
Alabama
Zip
35473-5822
Phone Number
205-330-1001
Fax Number
person
Provider Business Mailing Address Details
Address
4206 Revere Way
City
Northport
State
Alabama
Zip
35475-4421
Phone Number
205-330-0642
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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