Provider Demographics
NPI:1427162197
Name:JESSOP, REBECCA LYNN (MSPT)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LYNN
Last Name:JESSOP
Suffix:
Gender:F
Credentials:MSPT
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Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:4312 ROUTE 414
Mailing Address - City:FAYETTE
Mailing Address - State:NY
Mailing Address - Zip Code:13065
Mailing Address - Country:US
Mailing Address - Phone:315-549-8787
Mailing Address - Fax:
Practice Address - Street 1:2109 ROUTES 5 AND 20
Practice Address - Street 2:ORTHOPEDICS PLUS
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148
Practice Address - Country:US
Practice Address - Phone:315-568-2249
Practice Address - Fax:315-568-1857
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0215931225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist