Latrese Jackson is a prosthetic orthotic supplier in Lizella, GA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Latrese Jackson NPI is 1295316511. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2324 GWENDALE DR W
LIZELLA, GA
ZIP 31052-550
Phone: (478) 250-4601
The enumeration date for this NPI number is 4/19/2021 and was last updated on 4/19/2021.