Individual
JESSICA VASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3505 OLD JACKSONVILLE RD, TYLER, TX 75701-8510
(903) 561-2011
Mailing address
543 PRINCESS PL, TYLER, TX 75704-6647
(903) 952-7104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2055770
TX
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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