Individual
JENNA L ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24695
MD
225100000X
Physical Therapist
Primary
4760
NH
225100000X
Physical Therapist
5834
ME
Other
Enumeration date
09/18/2013
Last updated
04/07/2021
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