Individual
JENNIFER LEE WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
502 N 9TH AVE, VINTON, IA 52349-2254
(319) 472-6200
Mailing address
3227 SOUTTER AVE SE, CEDAR RAPIDS, IA 52403-3149
(319) 929-1252
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
101065
IA
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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