Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 24355 | CA |
NPI | 1386132116 |
---|---|
Provider Name | Jessica Esser |
First Address | Los Angeles, CA 90048-3950 |
Second Address | Los Angeles, CA 90048-4621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2018 |
Last Update Date | 26/04/2018 |