Individual
ANGELA LYNN JENNINGS
Active
Individual
ANGELA LYNN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6177
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6177
STATE LISCENSE
AZ
Enumeration date
05/23/2007
Last updated
11/24/2008
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