Doctor Name: | MISS JESSICA LYNN KIRCHNER |
NPI Number: | 1144228990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 23271 |
Business Practice Address: | 10201 Arcos Ave Suite 204 Estero, FL - 339289459 |
Business Phone Number: | 2394256909 |
Business Fax Number: | 2399924589 |
Mailing Address: | 10201 Arcos Ave, Suite 204 ESTERO |
State: | FL |
Postal Code: | 339289459 |
Phone Number: | 2394256909 |
Fax Number: | 2399924589 |
NPI Enumeration Date: | 07/14/2005 |
NPI Last Update Date: | 08/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 23271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |