Individual
KEISHA ROCHELLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 CORPORATE BLVD, SUITE101, ORLANDO, FL 32817-8354
(877) 896-3660
Mailing address
11301 CORPORATE BLVD, SUITE 101, ORLANDO, FL 32817-8354
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3694
AL
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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