Individual
JENNA RENEE MATTATALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2090 PALM BEACH LAKES BLVD STE 900, WEST PALM BEACH, FL 33409-6508
(561) 335-5965
(561) 335-5961
Mailing address
3103 KINGSTON CT, WEST PALM BEACH, FL 33409-7513
(561) 358-4012
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
30210
FL
Other
Enumeration date
01/02/2022
Last updated
01/02/2022
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