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Individual

JENNIFER KERNICKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
8525 ROLLING RD STE 320, MANASSAS, VA 20110-3673
(703) 361-0465
Mailing address
9204 ALVYN LAKE CIR, BRISTOW, VA 20136-6150
(724) 244-7642

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603448
VA
225200000X
Physical Therapy Assistant
TE008077
PA

Other

Enumeration date
08/22/2008
Last updated
04/20/2022
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