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Individual

JENNA EWING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1451 DR EDWARD HILLARD DR STE 130, TUSCALOOSA, AL 35401-7449
(205) 561-5899
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH12094
AL

Other

Enumeration date
11/14/2024
Last updated
11/14/2024
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