Individual
JESSICA ANN NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4026F ELKHART RD, GOSHEN, IN 46526-5795
(574) 501-3222
(574) 346-0169
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013172A
IN
225100000X
Physical Therapist
2017043057
MO
225100000X
Physical Therapist
PT013354
GA
225100000X
Physical Therapist
PT33173
FL
225100000X
Physical Therapist
PTH8812
AL
Other
Enumeration date
11/10/2017
Last updated
02/02/2023
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