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Individual
JULIANNA MARIE JENKS
Active
Individual
JULIANNA MARIE JENKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PT39301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05014773A
PHYSICAL THERAPY LICENSE
IN
01
—
PT39301
PHYSICAL THERAPY LICENSE
FL
Enumeration date
08/29/2022
Last updated
08/29/2022
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