Jessica Lee Driscoll, PTA
Physical Medicine & Rehabilitation in Rockford, IL. Individual provider (NPI-1).
NPI number1548754591
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1548754591
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lee Driscoll
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2018
- Last updated
- Jun 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 160004386 | IL | Yes |
Other names
- Jessica Lee Windsor (Other Name)
Practice location
209 9th StRockford, IL 61104-2235
Phone 779-696-4590
Mailing address
209 9th StRockford, IL 61104-2235
Phone 779-696-4590
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All 18 Physical Medicine & Rehabilitation Physician providers in Rockford · All 5,035 providers in Rockford
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