Individual
MRS. JENNIFER R WORNOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OCS
Contact information
Practice address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 827-2566
Mailing address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 827-2566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005217
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192931
BCBS (PHYS. THERAPY)
VA
05
—
3001754142
—
VA
01
—
5046653
AETNA
VA
Enumeration date
01/10/2007
Last updated
02/05/2024
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