Individual
MRS. ELIZABETH ANNE JENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2109 COUNTRY BND S, LAKELAND, FL 33811-1383
(863) 812-3131
Mailing address
2109 COUNTRY BND S, LAKELAND, FL 33811-1383
(863) 812-3131
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29318
FL
Other
Enumeration date
06/11/2019
Last updated
12/19/2023
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