Individual
JANE JONGOLNEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3535
Mailing address
17018 COVENTRY PARK DR, HOUSTON, TX 77084-6445
(281) 858-6010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1129849
TX
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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