Individual
JEFFREY ERNST THENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3310 LAKELAND HILLS BLVD, LAKELAND, FL 33805-1974
(863) 802-6600
Mailing address
7912 APACHE LN, LAKELAND, FL 33810-2170
(678) 634-8007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25037
FL
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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