Individual
MISS JESSICA Z COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
204 N 10TH ST, KLAMATH FALLS, OR 97601-2817
(541) 882-4544
(541) 882-7258
Mailing address
1575 PACIFIC TERRACE, KLAMATH FALLS, OR 97601
(541) 850-3227
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8307
OR
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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