Individual
MRS. JENNIFER LYNN ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
41680 MISS BESSIE DR, SUITE 103, LEONARDTOWN, MD 20650-2963
(240) 256-3711
(240) 256-3612
Mailing address
41680 MISS BESSIE DR, SUITE 103, LEONARDTOWN, MD 20650-2963
(240) 256-3711
(240) 256-3612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20761
MD
Other
Enumeration date
10/05/2005
Last updated
11/25/2015
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