Individual
MS. JILL MARIE HENNES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5477 GERMANNA HWY, LOCUST GROVE, VA 22508-2018
(540) 972-9610
(540) 972-9516
Mailing address
129 LARKSPUR LN, LOCUST GROVE, VA 22508-5161
(540) 972-3285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004502
VA
Other
Enumeration date
04/24/2006
Last updated
07/08/2007
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