Individual
JENNIFER ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1315 WALNUT ST, TEXARKANA, TX 75501-4446
(903) 794-2705
Mailing address
7413 PALISADES DR, TEXARKANA, TX 75503-0841
(806) 236-3903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2114950
TX
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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