Individual
JENNIFER VINTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
877 3RD ST, SUITE 1, CHIPLEY, FL 32428-1827
(850) 638-8447
(850) 638-9217
Mailing address
877 3RD ST, SUITE 1, CHIPLEY, FL 32428-1827
(850) 638-8447
(850) 638-9217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA 21762
PTA
FL
Enumeration date
03/14/2014
Last updated
03/14/2014
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