Most Relevant Information
Provider Data
NPI Number: | 1003196932 |
Provider Name: | LAURA LOUISE JESTES DPT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 19625 |
Most Important Dates
Enumeration Date: | 08/23/2011 |
Last Updated: | 09/04/2014 |
Provider Practice Location
120 S BROAD ST STE A
GROVE CITY
PA
161271544
Practice Location Phone/Fax
Phone: | 7244581500 |
Fax: |
Provider Mailing Location
421 SUMMIT ST
GROVE CITY
PA
161272313
Provider Mailing Phone/Fax
Phone: | 7243724326 |
Fax: |