Jennifer Lynne Ford, PTA

NPI #1679731020 in Lewiston, Idaho

Provider Information

NPI Number
1679731020
Entity Type
Individual
Name
Jennifer Lynne Ford, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 31, 2008
Last Updated
May 31, 2008

Practice Location

Address
557 PARK ST APT 6
State
Idaho
ZIP Code
83501-2581
Phone
(208) 305-4636

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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