Healthcare Provider Details

I. General information

NPI: 1598723843
Provider Name (Legal Business Name): JEFFREY JOHN FRENCH P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 01/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6015 POINTE WEST BLVD
BRADENTON FL
34209-5532
US

IV. Provider business mailing address

6015 POINTE WEST BLVD
BRADENTON FL
34209-5532
US

V. Phone/Fax

Practice location:
  • Phone: 941-792-1404
  • Fax: 941-795-1717
Mailing address:
  • Phone: 941-792-1404
  • Fax: 941-795-1717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 18038
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPT 18038
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT 18038
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: