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Individual

JEANINE N KIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPY

Contact information

Practice address
298 JAY ST, PRATTVILLE, AL 36066-6062
(334) 361-6008
(334) 491-0500
Mailing address
298 JAY ST, PRATTVILLE, AL 36066-6062
(334) 361-6008

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18075
AL

Other

Enumeration date
04/10/2008
Last updated
04/10/2008
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