Individual
JENNIFER ELIZABETH WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3310 FALL HILL AVE, FREDERICKSBURG, VA 22401-3000
(540) 373-7133
(540) 373-0068
Mailing address
2188 BETTY BROOK RD, SOUTH KORTRIGHT, NY 13842-2116
(607) 437-4092
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
006303-1
NY
225200000X
Physical Therapy Assistant
06003352A
IN
225200000X
Physical Therapy Assistant
Primary
2306602220
VA
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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