Individual
LISA GAYE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
731 LEIGHTON AVE, SUITE 1, ANNISTON, AL 36207-5761
(256) 235-5236
(256) 235-5590
Mailing address
400 E. 10TH STREET, REGIONAL MEDICAL CENTER, ANNISTON, AL 36207-4716
(256) 235-5236
(256) 235-5590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5984
AL
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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