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NPI Code Detail

MEDICARE: JENNIFER JOSEPH PT, DPT

MEDICARE: JENNIFER JOSEPH PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist070.015189IL

General Provider Information

NPI Number : 1962559666
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER JOSEPH PT, DPT
Provider Business Mailing Address
First Line : 3105 N WILKE RD STE H
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1450
Country : US
Telephone Number : 312-227-8614
Fax Number :
Provider Business Practice Location Address
First Line : 3105 N WILKE RD STE H
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1450
Country : US
Telephone Number : 773-803-5250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 08/28/2024

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