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Individual
JAMIE HENNESSEY
Active
Individual
JAMIE HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT, ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06562R
LA
225100000X
Physical Therapist
Primary
1146477
TX
Other
Enumeration date
07/29/2005
Last updated
11/09/2020
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