Individual
JESSILYN PATRICIA WARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4435 PHEASANT RIDGE RD, ROANOKE, VA 24014-5285
(540) 725-1120
Mailing address
50 GRAYSTONE DR, DALEVILLE, VA 24083-2940
(540) 761-6342
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606264
VA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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