Individual
MRS. JEANINE RENEE PALAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1736 MADISON 2810, HUNTSVILLE, AR 72740-8730
(123) 456-7890
Mailing address
1736 MADISON 2810, HUNTSVILLE, AR 72740
(479) 665-2659
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA 22904
FL
225200000X
Physical Therapy Assistant
Primary
PTA 2488
AR
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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