Individual
JESSICA LEE UMHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1020 GREEN AVE, ALTOONA, PA 16601-4623
(814) 946-2700
Mailing address
837 GLENWOOD DR, ALTOONA, PA 16601-7412
(814) 931-6863
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002696
PA
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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