Individual
MRS. JESSICA A POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
(620) 786-6129
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
(620) 786-6129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-1624
KS
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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