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JESSICA H JONES PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1679853238

Individual Registrant:
 JESSICA H JONES PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
812 EMERALD BAY RD  S LAKE TAHOE, CA 96150-6413 US
Tel: 530-542-2662  Fax: 530-542-2661

Contact information for business:
812 EMERALD BAY RD  S LAKE TAHOE, CA 96150-6413 US
Tel: 530-542-2662  Fax: 530-542-2661

Registration Information:
NPI: 1679853238
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT 39986

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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