Individual
JESSICA KORTHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9215 WHITE ROCK TRL, DALLAS, TX 75238-2593
(903) 850-3141
Mailing address
11611 LOCHWOOD BLVD, DALLAS, TX 75218-1812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2130728
TX
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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