Individual
KRISTEN L. JAGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, PHD, OCS
Contact information
Practice address
1015 FIRST STREET SW SUITE 2, ROANOKE, VA 24016
(540) 985-0500
(540) 985-0529
Mailing address
PO BOX 358, CLOVERDALE, VA 24077
(540) 985-0500
(540) 985-0529
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2305206995
VA
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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