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NPI Code Detail

MEDICARE: JENNIFER FRANCES STOVER P.T.

MEDICARE: JENNIFER FRANCES STOVER P.T.
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 Therapist40QA00430400NJ
22251G0304XGeriatric Physical TherapistPT019541PA

General Provider Information

NPI Number : 1164648234
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER FRANCES STOVER P.T.
Provider Business Mailing Address
First Line : 501 LARKINS BRIDGE DR
Second Line :
City : DOWNINGTOWN
State : PA
Zip : 19335-4544
Country : US
Telephone Number : 610-458-4306
Fax Number :
Provider Business Practice Location Address
First Line : 2499 ZERBE RD
Second Line :
City : NARVON
State : PA
Zip : 17555-9328
Country : US
Telephone Number : 717-445-8734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 06/10/2009

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