Individual
JESSICA ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 W PARK ROW BLVD, CORSICANA, TX 75110-4846
(903) 872-2455
Mailing address
411 CAROL AVE, CORSICANA, TX 75110-1301
(254) 707-0934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2118086
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31-1679605
—
TX
Enumeration date
08/25/2017
Last updated
08/25/2017
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