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NPI Code Detail

MEDICARE: JENNIFER KRISTINE FRONTIERO PT, DPT

MEDICARE: JENNIFER KRISTINE FRONTIERO PT, DPT
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 TherapistPT-1212WY

General Provider Information

NPI Number : 1558553339
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KRISTINE FRONTIERO PT, DPT
Provider Business Mailing Address
First Line : 2816 S POPLAR ST
Second Line :
City : CASPER
State : WY
Zip : 82601-5337
Country : US
Telephone Number : 307-259-7079
Fax Number :
Provider Business Practice Location Address
First Line : 1541 DIAMOND DR
Second Line :
City : CASPER
State : WY
Zip : 82601-6247
Country : US
Telephone Number : 307-259-7079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 03/24/2016

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