Jessica A Poe PTA

NPI 1326237983 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1326237983
Gender Female
Enumeration Date 10/19/2007
Last Updated 10/19/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3515 BROADWAY AVE
GREAT BEND KS, 67530-3633, US
Phone (620) 792-2511
Fax (620) 786-6129
Business Location
3515 BROADWAY AVE
GREAT BEND KS, 67530-3633, US
Phone (620) 792-2511
Fax (620) 786-6129
Toxanomy
Taxonomy Code 225200000X
License State Kansas
License Number 14-1624
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According to our database, Mrs. Jessica A Poe PTA NPI is 1326237983, taxonomy code is 225200000X and license number is 14-1624, license state is located at Kansas. Jessica A Poe PTA physically located at 3515 Broadway Ave, Great Bend KS, 67530-3633. NPI Number Jessica A Poe PTA has the Individual type.

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1326237983 NPI number is provided on an as is basis without warranty of any kind. 1326237983 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica A Poe PTA are for informational purposes only.