Individual
JESSICA SCHUPBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12429 SCOFIELD FARMS DR, AUSTIN, TX 78758-2640
(512) 835-9080
Mailing address
100 GRASON RD, GLEN BURNIE, MD 21061-4534
(240) 499-4866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4308
MD
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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