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Individual
MS. JEANETTE HINCHEY LARK
Active
Individual
MS. JEANETTE HINCHEY LARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT-1550
ID
225100000X
Physical Therapist
PT30193
FL
225100000X
Physical Therapist
Primary
PTH12080
AL
Other
Enumeration date
03/05/2007
Last updated
11/20/2024
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