Individual
JEANA FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E US HIGHWAY 69, DENISON, TX 75021-6510
(903) 465-2438
Mailing address
2228 WHITNEY RD, DENISON, TX 75021-4370
(737) 881-9094
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2090029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17922377
DRIVERS LICENSE
TX
Enumeration date
08/29/2018
Last updated
08/29/2018
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