Jessica Marie Russell Tomkoski, PT
Physical Therapist in Durham, NC. Individual provider (NPI-1).
NPI number1164049516
StatusActive
Last updated in NPPESOct 4, 2023
Details
- NPI
- 1164049516
- Entity type
- Individual (NPI-1)
- Name
- Jessica Marie Russell Tomkoski
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2020
- Certification date
- Oct 4, 2023
- Last updated
- Oct 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | P19209 | NC | Yes |
Other names
- Jessica Marie Russell (Former Name)
Practice location
5501 Welkin CtDurham, NC 27713-2023
Phone 864-752-7464
Mailing address
5501 Welkin CtDurham, NC 27713-2023
Phone 864-752-7464
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