person
Ms. Mildred Jean Lee-jackson, PT
Specialist in Niceville, Florida
NPI 1780859728

Mildred Jean Lee-jackson is a Specialist based in Niceville, FL. Mildred Jean Lee-jackson practices in Niceville, FL and has the professional credentials of PT. The NPI Number for Mildred Jean Lee-jackson is 1780859728 and holds a License No. PT0003333 (Florida).

The current practice location address for Mildred Jean Lee-jackson is 178 Howard St, Niceville, FL and can be reached out via phone at 850-678-6436.

Location: 178 Howard St, Niceville, FL, 32578-8022
person
Provider Profile Details
NPI Number
1780859728
Provider Name
Mildred Jean Lee-jackson
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
178 Howard St, Niceville, FL, 32578-8022
Phone Number
850-678-6436
Fax Number
Provider Enumeration Date
04/29/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
891638100 05 FL
institution
Provider Business Practice Location Address Details
Address
178 Howard St
City
State
Zip
32578-8022
Phone Number
850-678-6436
Fax Number
person
Provider Business Mailing Address Details
Address
178 Howard St
City
State
Zip
32578-8022
Phone Number
850-678-6436
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
PT0003333 (Florida)
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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