Individual
JESSICA ANA KIRKSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16135 CHURCHVIEW DR, LITHIA, FL 33547-4879
(301) 919-6457
Mailing address
16135 CHURCHVIEW DR, LITHIA, FL 33547-4879
(301) 919-6457
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30170
FL
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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