Provider Demographics
NPI:1881870111
Name:GERRA, JESSICA AMBER (PT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:AMBER
Last Name:GERRA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:AMBER
Other - Last Name:HOSTETLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1128
Mailing Address - Country:US
Mailing Address - Phone:617-905-8608
Mailing Address - Fax:
Practice Address - Street 1:12 EAGLE DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1128
Practice Address - Country:US
Practice Address - Phone:617-905-8608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7949225100000X
MA16454225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist