Individual
MS. JENNIFER LYNN MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA , LMT
Contact information
Practice address
1092 BRIELLE CT, OVIEDO, FL 32765-5402
(561) 312-7680
Mailing address
1092 BRIELLE CT, OVIEDO, FL 32765-5402
(561) 312-7680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20886
FL
225700000X
Massage Therapist
MA 35218
FL
Other
Enumeration date
04/02/2008
Last updated
08/18/2010
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