Individual
JESSICA WALLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0011296
—
Other
Enumeration date
05/16/2020
Last updated
05/16/2020
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