Individual
MS. JENNIFER LEE PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1862 ROCK PRAIRIE RD STE 202, COLLEGE STATION, TX 77845-6170
(979) 450-1914
Mailing address
2020 LEGACY LN, COLLEGE STATION, TX 77840-6363
(806) 789-3246
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2097499
TX
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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