Most Relevant Information
Provider Data
| NPI Number: | 1003517889 |
| Provider Name: | KRISTEN JENNINGS PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/17/2023 |
| Last Updated: | 03/17/2023 |
Provider Practice Location
2044 TRINITY OAKS BLVD STE 210
TRINITY
FL
346554406
Practice Location Phone/Fax
| Phone: | 7274616026 |
| Fax: |
Provider Mailing Location
13020 N TELECOM PKWY
TEMPLE TERRACE
FL
336370915
Provider Mailing Phone/Fax
| Phone: | 8139789700 |
| Fax: |