Individual
JENNIFER M THOENNISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14580 TAMIAMI TRL # DE, NORTH PORT, FL 34287-2708
(941) 200-2570
Mailing address
1533 MARICOPA RD, NORTH PORT, FL 34287-4123
(941) 468-7078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23456
FL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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