Individual
JENNIFER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA23996
Contact information
Practice address
8455 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5066
(352) 382-1141
Mailing address
8455 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5066
(352) 382-1141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23996
FL
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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