Individual
JESSICA ANNE CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
17272 NEWHOPE ST, FOUNTAIN VALLEY, CA 92708-4210
(714) 754-7268
(714) 434-7042
Mailing address
17272 NEWHOPE ST, FOUNTAIN VALLEY, CA 92708-4210
(714) 754-7268
(714) 434-7042
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT37550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT37550
LICENSE
CA
Enumeration date
06/21/2011
Last updated
06/21/2011
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