Individual
JESSICA MARIE KALTSAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
550 S WINCHESTER BLVD, SUITE 125, SAN JOSE, CA 95128-2544
(408) 293-7767
Mailing address
5424 WOODHURST LN, SAN JOSE, CA 95123-1351
(847) 567-9694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160005564
IL
225200000X
Physical Therapy Assistant
Primary
9391
CA
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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