Individual
JESSICA VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2012 CANDLEGLOW ST, CASTLE ROCK, CO 80109-3564
(303) 915-1251
Mailing address
2012 CANDLEGLOW ST, CASTLE ROCK, CO 80109-3564
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10883
CO
Other
Enumeration date
11/03/2019
Last updated
11/03/2019
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