| Doctor Name: | MS. JESSICA N. HONTIVEROS |
| NPI Number: | 1073512737 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 2305204340 |
| Business Practice Address: | 16455 E Avenue Of The Fountains Fountain Hills Fountain Hills, AZ - 852688307 |
| Business Phone Number: | 4808372023 |
| Business Fax Number: | 4808372072 |
| Mailing Address: | 115 Jefferson Hwy, Louisa LOUISA |
| State: | VA |
| Postal Code: | 230936563 |
| Phone Number: | 5403671757 |
| Fax Number: | 5409670817 |
| NPI Enumeration Date: | 07/15/2005 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305204340 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |