Individual
JENNIFER W DESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2139 WINCHESTER RD NE STE B, HUNTSVILLE, AL 35811-9804
(256) 319-8500
Mailing address
4715 WHITESBURG DR SE, HUNTSVILLE, AL 35802-1649
(256) 319-8500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3042
MS
225100000X
Physical Therapist
7119
AZ
225100000X
Physical Therapist
Primary
PTH8003
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021241
—
AZ
Enumeration date
02/28/2006
Last updated
08/28/2023
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