Provider Demographics
NPI:1316170756
Name:FINLAYSON, JESSICA (DPT)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:
Last Name:FINLAYSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26206 HARBOUR VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-5130
Mailing Address - Country:US
Mailing Address - Phone:813-431-5858
Mailing Address - Fax:
Practice Address - Street 1:1 FLORIDA PARK DR S STE 230
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-3801
Practice Address - Country:US
Practice Address - Phone:386-447-5447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24951225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist