Individual
JENNY MARIE LONDERHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
614 EAKER ST, EDEN, TX 76837
(325) 869-5911
(325) 869-1112
Mailing address
PO BOX 987, EDEN, TX 76837-0987
(325) 869-5911
(325) 869-1112
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1309249
TX
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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