Jessica Reardon

NPI #1346615176 in Marina Del Rey, California

Provider Information

NPI Number: 1346615176
Entity Type: Individual
Name: Jessica Reardon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Dec 4, 2015
Last Updated: Jan 6, 2016

Practice Location

Address: 4702 LINCOLN BLVD
City: Marina Del Rey
State: California
ZIP Code: 90292-6902
Phone: (310) 306-1478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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