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Individual
JENNIFER LYNN MCNAMARA
Active
Individual
JENNIFER LYNN MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT024821
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030618350003
—
PA
01
—
768942
MEDICARE
PA
Enumeration date
11/05/2015
Last updated
01/05/2021
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