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Individual
JENNIFER A SHORT
Active
Individual
JENNIFER A SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T., A.T.C
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018191
IL
Other
Enumeration date
09/08/2010
Last updated
05/22/2017
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