Provider Demographics
NPI:1033345897
Name:MCGUINNESS, JESSICA ANN (PT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:MCGUINNESS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WITTENBERG WAY
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-2211
Mailing Address - Country:US
Mailing Address - Phone:725-625-4849
Mailing Address - Fax:724-625-5818
Practice Address - Street 1:500 WITTENBERG WAY
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-2211
Practice Address - Country:US
Practice Address - Phone:725-625-4849
Practice Address - Fax:724-625-5818
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019894225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist