Individual
JESSICA POW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6312 HEDGE LANE TER APT 102, SHAWNEE, KS 66226-4828
(913) 709-6004
Mailing address
6312 HEDGE LANE TER APT 102, SHAWNEE, KS 66226-4828
(913) 709-6004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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