Individual
MRS. JENNIFER LYNN FENNESSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13731 HICKMAN RD, URBANDALE, IA 50323-2193
(515) 331-6940
Mailing address
1110 10TH AVE SE, ALTOONA, IA 50009-2548
(515) 967-0102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3608
IA
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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