Individual
CAROLINA M JENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1101 ROCK ST, BOWIE, TX 76230-3115
(940) 872-4033
Mailing address
431 E HILL RD, SHERBURNE, NY 13460-4014
(607) 316-6374
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2058393
TX
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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