Mattatall, Jenna Renee
Mattatall, Jenna Renee is an individual health care provider with primary practice located at 2090 Palm Beach Lakes Blvd Ste 900 , West Palm Beach FL 33409-6508. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Mattatall, Jenna Renee can be contacted via phone (561) 335-5965.Contact Information
Primary practice address
2090 Palm Beach Lakes Blvd Ste 900
West Palm Beach FL 33409-6508
Phone: (561) 335-5965
Fax: (561) 335-5961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 30210 | Florida |
Profile Details
| NPI number | 1992466916 |
|---|---|
| LBN Legal business name | Mattatall, Jenna Renee |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2022 |
| Last updated | Jan 2nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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