Doctor Name: | DR. JESSICA LYNN NADRAGA |
NPI Number: | 1578752903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 33935 |
Business Practice Address: | 8881 Fletcher Pkwy Suite 385 La Mesa, CA - 919423134 |
Business Phone Number: | 6194600137 |
Business Fax Number: | 6194600139 |
Mailing Address: | 8881 Fletcher Pkwy, Suite 385 LA MESA |
State: | CA |
Postal Code: | 919423134 |
Phone Number: | 6194600137 |
Fax Number: | 6194600139 |
NPI Enumeration Date: | 10/22/2007 |
NPI Last Update Date: | 02/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 33935 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |