Individual
MISS JESSICA WEEKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
8237 BEACON BLVD, FORT MYERS, FL 33907-3053
(239) 936-3319
Mailing address
8237 BEACON BLVD, FORT MYERS, FL 33907-3053
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3539
FL
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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