JESSICA LYNN SOUTHERS

CHESTERFIELD, VA
NPI1093304016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306605787)
Enumeration Date2021-01-14
Last Update Date2021-01-14
Business Address
JESSICA LYNN SOUTHERS PTA
6800 LUCY CORR CT
CHESTERFIELD, VA 23832-6657
Phone number: 804-748-1511
Mailing Address
JESSICA LYNN SOUTHERS PTA
14001 STONECREEK CLUB CT
CHESTERFIELD, VA 23832-2591
Phone number: 804-695-6893