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Individual

JENNIFER DENISE WASHBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1200 LEXINGTON GREEN LANE, SANFORD, FL 32771
(386) 851-0901
Mailing address
1200 LEXINGTON GREEN LANE, SANFORD, FL 32771
(386) 851-0901

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23496
FL

Other

Enumeration date
09/06/2012
Last updated
09/06/2012
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