Individual
JENNIFER DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5140 GALAXIE DR, JACKSON, MS 39206-4335
(662) 714-3122
(888) 228-1594
Mailing address
5140 GALAXIE DR, JACKSON, MS 39206-4335
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6919
MS
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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