| Doctor Name: | MS. MARY JACQUELINE KIRKLAND |
| NPI Number: | 1942219795 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | PT18763 |
| Business Practice Address: | 619 South Marion Avenue Pt117 Lake City, FL - 320255898 |
| Business Phone Number: | 3867663016 |
| Business Fax Number: | |
| Mailing Address: | 233 Ne Ridge Loop, MADISON |
| State: | FL |
| Postal Code: | 323408603 |
| Phone Number: | 8508780191 |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2006 |
| NPI Last Update Date: | 08/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT18763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |