Individual
JENNIFER LEIGH VOUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
214 MCCULLOH ST, FROSTBURG, MD 21532-1958
(301) 689-3332
Mailing address
214 MCCULLOH ST, FROSTBURG, MD 21532-1958
(301) 689-3332
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
002022
WV
Other
Enumeration date
01/06/2008
Last updated
01/06/2008
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