Individual
DR. JENNIFER A ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
14524 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-6803
(703) 490-6726
(703) 494-2171
Mailing address
14524 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-6803
(703) 490-6726
(703) 494-2171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208403
VA
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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