Individual
MS. JESSICA NICOLE PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
33 WINSTON AVE, NEWPORT NEWS, VA 23601-2227
(757) 897-2261
Mailing address
33 WINSTON AVE, NEWPORT NEWS, VA 23601-2227
(757) 897-2261
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605001
VA
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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