Individual
JESSICA VIRGADAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
175 W LOWRY LN, SUITE 104, LEXINGTON, KY 40503-3012
(859) 475-4305
Mailing address
175 W LOWRY LN, SUITE 104, LEXINGTON, KY 40503-3012
(859) 475-4305
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
006555
KY
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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