Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA L SUPER, PT, DPT, CSCS
ActiveJESSICA L SUPER, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in PALM DESERT, California. NPI 1801036819 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PALM DESERT, CA
Registration Details
- NPI Number
- 1801036819
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2009 (17.452641414063 yrs)
- Last Updated
- Mar 2, 2016
- License
-
PT35434 (CA)
Practice Information
- Address
-
44651 VILLAGE CT STE 120PALM DESERT, CA, 922603823Browse CA providers · Browse ZIP 92260
- Phone
- 7605016655
- Fax
- 7602623773
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PALM DESERT, CA
| Name | Credential | NPI |
|---|---|---|
| MR. DWIGHT J CORNISH | PT | 1811997398 |
| TRACY LYNN CHUCK | MSPT | 1972587079 |
| FD BLADE BRANHAM | PT | 1114902392 |
| SKY R GOUDEY | PT | 1609844513 |
| MR. ROBERT LAWRENCE LANGFORD | PHYSICAL THERAPIST | 1609827195 |
| ISABELLA SMITH | PT | 1023056223 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.