Individual
JESSICA GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1003 RIVER ST STE C, SANTA CRUZ, CA 95060-1754
(831) 457-1800
Mailing address
1154 MORSE AVE APT 101, SUNNYVALE, CA 94089-4621
(408) 839-3397
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52795
CA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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