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Individual

MRS. JENNIFER LYNN SISSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
17 E SIR FRANCIS DRAKE BLVD, LARKSPUR, CA 94939-1727
(415) 927-2273
Mailing address
549 COMMONWEALTH LN, SARASOTA, FL 34242-1245
(603) 657-5801

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
29446
CA
2251G0304X
Geriatric Physical Therapist
PT23576
FL

Other

Enumeration date
11/17/2020
Last updated
11/17/2020
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