Individual
JESSICA MADALYN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
847 WESTLAKE DR, MOUNT AIRY, NC 27030-2157
(336) 783-9400
Mailing address
847 WESTLAKE DR, MOUNT AIRY, NC 27030-2157
(336) 783-9400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P18994
NC
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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