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Individual

JESSICA LEE GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
500 W HOSPITAL ST, TAYLOR, PA 18517-2012
(570) 562-2102
Mailing address
388 SLOCUM AVE, EXETER, PA 18643-1194

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1006539
PA

Other

Enumeration date
08/30/2023
Last updated
08/30/2023
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