Individual
MS. JESSIKA ANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11102 ARBOR GREEN DR, CHESTER, VA 23831
(804) 295-9399
Mailing address
11102 ARBOR GREEN DR, CHESTER, VA 23831-7740
(804) 295-9399
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0061031
NY
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
03/01/2008
Last updated
12/27/2021
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