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Individual
JESSICA ANNE LEPAGE
Active
Individual
JESSICA ANNE LEPAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.024936
IL
225100000X
Physical Therapist
1232320
TX
Other
Enumeration date
08/03/2013
Last updated
09/08/2021
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