Individual
JENNA MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2990 LAUREL ST, BEAUMONT, TX 77702-2104
(409) 861-4009
Mailing address
2990 LAUREL ST, BEAUMONT, TX 77702-2104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2034767
TX
Other
Enumeration date
04/25/2012
Last updated
08/15/2014
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