Individual
JENNIFER POVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2831 AIRWAYS BLVD STE 102, MEMPHIS, TN 38132-1008
(901) 348-0200
Mailing address
8670 PEPPER BUSH LN, GERMANTOWN, TN 38139-4425
(901) 334-8175
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000007581
TN
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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