Henderson, Jessica Ann

Henderson, Jessica Ann is an individual health care provider with primary practice located at 3450 Cobb Pkwy Nw Ste 220 , Acworth GA 30101-8352. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Henderson, Jessica Ann can be contacted via phone (770) 974-1978.

Contact Information

Primary practice address
3450 Cobb Pkwy Nw Ste 220 Acworth GA 30101-8352
Phone: (770) 974-1978
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 10130 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5722 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT012429 Georgia

Profile Details

NPI number 1225121031
LBN Legal business name Henderson, Jessica Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225121031 NPPES
North Carolina MEDICAID 7211905

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