Individual
JESSICA NICOLE KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1108 AIRPORT BLVD STE C, PENSACOLA, FL 32504-8623
(850) 483-0586
Mailing address
1303 JASPER ST, CANTONMENT, FL 32533-2918
(808) 392-3448
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21914
FL
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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