Individual
JENNIFER LEE HERROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9173 SE SWINNEY RD, ARCADIA, FL 34266-8916
(812) 881-5626
Mailing address
9173 SE SWINNEY RD, ARCADIA, FL 34266-8916
(812) 881-5626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20090
FL
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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