Jessica G Black, LPTA | |
10300 Courthouse Rd, Chesterfield, VA 23832 | |
(804) 203-1991 | |
Not Available |
Full Name | Jessica G Black |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 10300 Courthouse Rd, Chesterfield, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881244374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 2306603665 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jessica G Black, LPTA 8837 Chester Forest Ln, North Chesterfield, VA 23237-2655 Ph: (804) 338-7667 | Jessica G Black, LPTA 10300 Courthouse Rd, Chesterfield, VA 23832 Ph: (804) 203-1991 |
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