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1255811063
JENNIFER SUTHERLAND
FORT WORTH, TX
NPI
1255811063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2058517)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
JENNIFER SUTHERLAND PTA,CLT
724 W. RENDON CROWLEY RD
FORT WORTH, TX 76036
Phone number: 817-297-4141
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Mailing Address
JENNIFER SUTHERLAND PTA,CLT
2106 NUGENT DR
MANSFIELD, TX 76063-5125
Phone number: 619-246-6779
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