Individual
JESSICA NICOLE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1111 SW 10TH ST STE A, NEWPORT, OR 97365-5235
(541) 574-1823
(541) 812-2070
Mailing address
1111 SW 10TH ST STE A, NEWPORT, OR 97365-5235
(541) 574-1823
(541) 812-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63760
OR
225100000X
Physical Therapist
8367
NC
Other
Enumeration date
05/23/2007
Last updated
07/18/2023
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