Individual
MRS. JENNIFER MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST A
Contact information
Practice address
106 HICKORY ST, BULLARD, TX 75757
(903) 894-8254
Mailing address
106 HICKORY RD, BULLARD, TX 75757-5064
(903) 894-8254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2051290
TX
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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