Individual
JESSICA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 E MAIN ST, HUMBOLDT, TN 38343-3070
(731) 784-8405
Mailing address
1917 OSBORNE ST, HUMBOLDT, TN 38343-3058
(731) 618-2518
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3482
TN
Other
Enumeration date
10/21/2018
Last updated
10/21/2018
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