Individual
MRS. JENNIFER M WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5505 NEW COPELAND RD, TYLER, TX 75703-3955
(855) 840-7257
Mailing address
17521 US HIGHWAY 69 S, TYLER, TX 75703-5594
(903) 839-3600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2075603
TX
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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