Individual
JENNIFER LYNN WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1136 COUNTRY CLUB RD STE A, ADRIAN, MI 49221-8208
(517) 265-0293
Mailing address
8370 TODD RD, IDA, MI 48140-9737
(419) 360-8360
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502001790
PTA LICENSE STATE OF MI
MI
Enumeration date
09/26/2009
Last updated
11/27/2023
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