Individual
JENNIFER LYNNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
759 S MAIN ST, WOODSTOCK, VA 22664-1154
(540) 550-3466
Mailing address
820 LINDH RD APT 43, GULFPORT, MS 39507-3746
(540) 550-3466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305214677
VA
225100000X
Physical Therapist
Primary
CP022518T
MS
Other
Enumeration date
09/10/2021
Last updated
08/07/2023
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