Whalio Doctors

NPI 1336372721

Jennifer a Small, CPO

Practitioner Prosthetist Fort Worth, TX

Practice location

Address
1401 W Magnolia Ave, Fort Worth, TX 76104-4250
Phone
(817) 923-2101

Registered specialties (2)

Prosthetist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1324 (TX)
Orthotist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1324 (TX)

Registry record

NPI
1336372721
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Sep 2009
Record last updated
1 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.