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Individual

MRS. JENNIFER BETH SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
313 WEST MAIN STREET, FORDSVILLE, KY 42343
(270) 276-3603
(270) 276-3609
Mailing address
923 MUD COLLEGE RD, HARTFORD, KY 42347-9584
(270) 298-3644
(270) 298-3644

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002883
KY

Other

Enumeration date
06/29/2007
Last updated
07/08/2007
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