Individual
MISS JENNIFER L OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8124 LENOX CREEKSIDE DR, ANTIOCH, TN 37013-4638
(772) 370-2120
Mailing address
8124 LENOX CREEKSIDE DR, ANTIOCH, TN 37013-4638
(772) 370-2120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4393
TN
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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