Individual
PHILLIP THOMAS JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
400 CLOCKTOWER RIDGE DR, WINCHESTER, VA 22603-3878
(540) 431-2830
Mailing address
1777 LONGS RD, LURAY, VA 22835-4915
(540) 742-5874
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604552
VA
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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