Jessica Ann Crouch, PTA

NPI #1417414111 in Leesburg, Florida

Provider Information

NPI Number: 1417414111
Entity Type: Individual
Name: Jessica Ann Crouch, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 28, 2019
Last Updated: Feb 28, 2019

Practice Location

Address: 600 W NORTH BLVD STE D
City: Leesburg
State: Florida
ZIP Code: 34748-5000
Phone: (352) 728-6636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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