Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 1476 | SC |
NPI | 1346602794 |
---|---|
Provider Name | Mrs. Jennifer R Hess |
First Address | Simpsonville, SC 29681-6307 |
Second Address | Fountain Inn, SC 29644-9444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2016 |
Last Update Date | 24/03/2016 |