Individual
JENNIFER HOLBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT MOMT FAAOMT
Contact information
Practice address
612 S COOPER ST, MEMPHIS, TN 38104-5352
(901) 272-2822
(901) 272-2823
Mailing address
612 S COOPER ST, MEMPHIS, TN 38104-5351
(901) 272-2822
(901) 272-2823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5685
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3729247
—
TN
Enumeration date
01/08/2007
Last updated
06/01/2015
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