Provider Demographics
NPI:1295083293
Name:CHRISTOPHER, JESSICA HEWINS KELLY (DPT)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:HEWINS KELLY
Last Name:CHRISTOPHER
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 1:8001 LYNBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4642
Mailing Address - Country:US
Mailing Address - Phone:240-740-5500
Mailing Address - Fax:301-657-4971
Practice Address - Street 1:8001 LYNBROOK DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4642
Practice Address - Country:US
Practice Address - Phone:240-740-5500
Practice Address - Fax:301-657-4971
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-22
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24161225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist