| NPI | 1992310098 |
|---|---|
| Former Name | JESSICA LYNNE DIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 25987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4717) |
| 225100000X Physical Therapist (Licence: ME PT5764) | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2025-05-21 |