Individual
JENNIFERLYN FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5648 SOUTH ADAMS AVE, WASHINGTON TERRACE, UT 84405
(801) 475-0500
Mailing address
2510 CHARLESTON AVE APT E10, HARRISVILLE, UT 84414-2524
(208) 869-7973
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5770435-2402
UT
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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