MRS. Jennifer Lee Waleko, PTA

NPI #1194936773 in Venice, Florida

Provider Information

NPI Number
1194936773
Entity Type
Individual
Name
MRS. Jennifer Lee Waleko, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 24, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
832 SUNSET LAKE BLVD
City
Venice
State
Florida
ZIP Code
34292-7550
Phone
(941) 493-5536

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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