Individual
JESSICA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 CORINTHIAN DR, APT 1815, FLORENCE, KY 41042-8879
(808) 382-1079
Mailing address
1624 CORINTHIAN DR, APT 1815, FLORENCE, KY 41042-8879
(808) 382-1079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA03150
KY
225200000X
Physical Therapy Assistant
PTA07179
OH
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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