Super, Jessica L
Super, Jessica L is an individual health care provider with primary practice located at 44651 Village Ct Ste 120 , Palm Desert CA 92260-3823. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Super, Jessica L can be contacted via phone (760) 501-6655.Contact Information
Primary practice address
44651 Village Ct Ste 120
Palm Desert CA 92260-3823
Phone: (760) 501-6655
Fax: (760) 262-3773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT35434 | California |
Profile Details
| NPI number | 1801036819 |
|---|---|
| LBN Legal business name | Super, Jessica L |
| Credentials | PT, DPT, CSCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2009 |
| Last updated | Mar 2nd, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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