Individual
MRS. JENNIFER EVERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
301 S BAY ST, EUSTIS, FL 32726-4005
(352) 357-7767
Mailing address
92 PINE FOREST PL, APOPKA, FL 32712-2768
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22138
FL
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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