MEDICARE: JESSICA DRUMMOND DCN, CNS, PT

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	1133825	TX

General Provider Information

NPI Number	:	1275036626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA DRUMMOND DCN, CNS, PT

Provider Business Mailing Address
First Line	:	3231 ALLEN PKWY APT 6205
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-1833
Country	:	US
Telephone Number	:	832-277-7064
Fax Number	:

Provider Business Practice Location Address
First Line	:	3231 ALLEN PKWY APT 6205
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-1833
Country	:	US
Telephone Number	:	832-277-7064
Fax Number	:

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

Provider Enumeration Date	:	03/13/2018
Last Update Date	:	03/13/2018

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