Individual
JELICA THOMASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
301 HOLLEMAN DR E APT 832, COLLEGE STATION, TX 77840-7048
(941) 544-2334
Mailing address
301 HOLLEMAN DR. E #832, COLLEGE STATION, TX 77840
(941) 544-2334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2099683
TX
225200000X
Physical Therapy Assistant
24097
FL
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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