Jena Cassidie Parris, Pta
Physical Medicine & Rehabilitation in Mansfield, TX. Individual provider (NPI-1).
NPI number1982245171
StatusActive
Last updated in NPPESSep 30, 2019
Details
- NPI
- 1982245171
- Entity type
- Individual (NPI-1)
- Name
- Jena Cassidie Parris
- Credential
- Pta
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2019
- Last updated
- Sep 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2032522 | TX | Yes |
Other names
- Jena Cunningham (Former Name)
Practice location
1 Charleston CtMansfield, TX 76063-5173
Phone 817-925-1005
Mailing address
1 Charleston CtMansfield, TX 76063-5173
Phone 817-925-1005
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