Healthcare Provider Details

I. General information

NPI: 1700340825
Provider Name (Legal Business Name): JENNA HUEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2019
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E WINCHESTER AVE
LANGHORNE PA
19047-2250
US

IV. Provider business mailing address

300 E WINCHESTER AVE
LANGHORNE PA
19047-2250
US

V. Phone/Fax

Practice location:
  • Phone: 215-757-3739
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberTEI004381
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: