Individual
MRS. JENA ELLIS WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1107 GREER ST, SUITE B, CORDELE, GA 31015-1920
(229) 273-9447
Mailing address
1046 GA HIGHWAY 90, VIENNA, GA 31092-4939
(229) 322-8222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10948
GA
225100000X
Physical Therapist
PTT27780
FL
Other
Enumeration date
09/21/2012
Last updated
06/04/2013
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