Individual
JESSICA S MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CMTPT
Contact information
Practice address
2106 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 838-6678
(757) 838-8116
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206097
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020689T54
MEDICARE PTAN
VA
05
—
1649401159
—
VA
01
—
192948
BCBS (PHYSICAL THERAPY)
VA
01
—
9585386
AETNA
VA
01
—
C05954
GROUP MEDICARE PTAN
VA
01
—
P00739441
RAILROAD MEDICARE
VA
Enumeration date
07/31/2009
Last updated
04/27/2018
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