Individual
EMILY ANNE FENNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
423 COVINGTON AVE, THOMASVILLE, GA 31792-5264
(229) 233-4449
Mailing address
556 NE FRALEIGH DR, MADISON, FL 32340-2161
(850) 869-0120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004812
GA
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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