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NPI Code Detail

MEDICARE: JENNIFER ADRIEN MSPT

MEDICARE: JENNIFER ADRIEN MSPT
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 TherapistPT23435FL

General Provider Information

NPI Number : 1225228968
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ADRIEN MSPT
Provider Business Mailing Address
First Line : 10525 SW 130TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33186-3432
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9699 W SAMPLE RD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-4001
Country : US
Telephone Number : 954-344-7771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2007
Last Update Date : 07/30/2007

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Directions to “ JENNIFER ADRIEN MSPT” Practice Location

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