Individual
JESSICA ERIN BATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1332 S SHASTA AVE STE B, EAGLE POINT, OR 97524-8623
(541) 826-3052
Mailing address
1137 SE ROGUE DR, GRANTS PASS, OR 97526-4058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63847
OR
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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