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Individual

MS. JEANETTE HINCHEY LARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
PT-1550
ID
225100000X
Physical Therapist
PT30193
FL
225100000X
Physical Therapist
Primary
PTH12080
AL

Other

Enumeration date
03/05/2007
Last updated
11/20/2024
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