Individual
JENNA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
560 S LAKEWOOD DR STE 101, BRANDON, FL 33511-5015
(813) 978-9700
(813) 558-6186
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33864
FL
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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