Provider Demographics
NPI:1972840320
Name:HAND, JESSICA (PTA)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:
Last Name:HAND
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 KATHY LN
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3031
Mailing Address - Country:US
Mailing Address - Phone:561-386-4494
Mailing Address - Fax:877-796-7890
Practice Address - Street 1:1940 KATHY LN
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3031
Practice Address - Country:US
Practice Address - Phone:561-386-4494
Practice Address - Fax:877-796-7890
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA21441225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant