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Individual

MRS. JENNIFER ELLIS THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
13028 COYS DR SE, HUNTSVILLE, AL 35803-2406
(256) 509-6295
Mailing address
13028 COYS DR SE, HUNTSVILLE, AL 35803-2406
(256) 509-6295

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3475
AL

Other

Enumeration date
03/06/2012
Last updated
03/06/2012
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