Individual
MRS. JENNIFER LYNN WESTBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
479 LIVE OAK LN, NEVILS, GA 31321-3020
(912) 704-5067
Mailing address
479 LIVE OAK LN, NEVILS, GA 31321-3020
(912) 704-5067
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002129
GA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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