Individual
JENNIFER RAE TAIWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
2003 COBB ST, FARMVILLE, VA 23901-2603
(434) 392-6106
Mailing address
2003 COBB ST, FARMVILLE, VA 23901-2603
(434) 392-6106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603406
VA
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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