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Individual

JENNIFER Y ROLLINS

Active
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Individual

JENNIFER Y ROLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.T.

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
225100000X
Physical Therapist
1140200
TX
225100000X
Physical Therapist
Primary
PT28177
FL
2251P0200X
Pediatric Physical Therapist
1140200
TX
2251P0200X
Pediatric Physical Therapist
PT28177
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
143234602
TX
Enumeration date
01/15/2007
Last updated
03/31/2021
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