Individual
JENNIFER M VON ANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5427 GEX RD, SUITE B, DIAMONDHEAD, MS 39525-3208
(228) 388-5714
(228) 388-0017
Mailing address
251 JOHNSTON ST SE, STE 200, DECATUR, AL 35601-2515
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3339
MS
Other
Enumeration date
07/23/2013
Last updated
10/18/2017
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