Most Relevant Information
Provider Data
NPI Number: | 1003310491 |
Provider Name: | JESSICA IBARRA |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | 2104270 |
Most Important Dates
Enumeration Date: | 03/20/2018 |
Last Updated: | 03/20/2018 |
Provider Practice Location
232 LINDBERG AVE
MCALLEN
TX
785012920
Practice Location Phone/Fax
Phone: | 9569940011 |
Fax: |
Provider Mailing Location
232 LINDBERG AVE
MCALLEN
TX
785012920
Provider Mailing Phone/Fax
Phone: | |
Fax: |