Individual
JENNIFER D HAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4901 EASTCHESTER, BRYAN, TX 77802
(979) 589-4922
Mailing address
4901 EASTCHESTER DR., BRYAN, TX 77802
(979) 589-4922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019568
TX
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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