Individual
MS. JESSICA LYNNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
22502 SAMBAR LOOP, CHUGIAK, AK 99567-5377
(503) 757-3488
Mailing address
22502 SAMBAR LOOP, CHUGIAK, AK 99567-5377
(503) 757-3488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PHYP2511
AK
Other
Enumeration date
06/29/2011
Last updated
01/27/2021
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