Individual
JESSICA LYNNE MANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 FM 359 RD S, BROOKSHIRE, TX 77423-9510
(845) 863-4841
Mailing address
9118 BRIXHAM DR, CYPRESS, TX 77433-8333
(845) 863-4841
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2143669
TX
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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