Individual
MRS. JENNA DANIELLE LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2472 PATTERSON RD UNIT 9, GRAND JUNCTION, CO 81505-1100
(970) 245-0511
Mailing address
2472 PATTERSON RD UNIT 9, GRAND JUNCTION, CO 81505-1100
(970) 245-0511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501011483
MI
225100000X
Physical Therapist
PT10373
OH
225100000X
Physical Therapist
Primary
PTL.12922
CO
Other
Enumeration date
05/01/2007
Last updated
05/17/2024
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