LYNN JACKSON, PT, PC
Physical Therapy at William Cannon Dr, Austin, TX

License number
Texas 1113850
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: LYNN JACKSON PT ,PC
Title: OWNER
Phone: (512) 899-8508
Address
Address
6012 W William Cannon Dr BLDG C-101, Austin, TX 78749
National Provider ID: 1871779256
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LYNN JACKSON, P.T., PC

Austin, TX

Doing business as:
Lynn Jackson, P.T., PC
Registration:
May 8, 2000
Addresses:
6012 W William Cannon Dr STE C101, Austin, TX 78749 (Mailing)
PO Box 91419, Austin, TX 78709
State ID:
0092659602
Business type:
Domestic Professional Corporation
OWNER, Owner:
Lynn Jackson (OWNER, Owner), 1335 Trebled Waters Trl, Driftwood, TX 78619
TIN:
32002410317

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