MEDICARE: DR. JESSICA M FORRER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305204492	VA

General Provider Information

NPI Number	:	1932182482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA M FORRER DPT

Provider Business Mailing Address
First Line	:	PO BOX 1119
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-1119
Country	:	US
Telephone Number	:	540-868-9599
Fax Number	:	540-868-9699

Provider Business Practice Location Address
First Line	:	640 WARRIOR DR STE 115
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-4076
Country	:	US
Telephone Number	:	540-868-9599
Fax Number	:	540-868-9699

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	09/18/2024

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