MEDICARE: JENNIFER A ENGLISH RPT

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
1	225100000X	Physical Therapist	0005928	FL

General Provider Information

NPI Number	:	1437428703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER A ENGLISH RPT

Provider Business Mailing Address
First Line	:	7336 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2529
Country	:	US
Telephone Number	:	561-964-0221
Fax Number	:

Provider Business Practice Location Address
First Line	:	7336 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2529
Country	:	US
Telephone Number	:	561-964-0221
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2011
Last Update Date	:	12/15/2011

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