Individual
MISS JESSICA LYNN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3 PROFESSIONAL PARK DR, SUITE 10, JOHNSON CITY, TN 37604-6529
(423) 926-4331
Mailing address
3 PROFESSIONAL PARK DR, SUITE 10, JOHNSON CITY, TN 37604-6529
(423) 926-4331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8287
TN
Other
Enumeration date
10/15/2010
Last updated
10/18/2010
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