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NPI Code Detail

MEDICARE: MRS. JENNIFER J HINER PT

MEDICARE: MRS. JENNIFER J HINER PT
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
12251P0200XPediatric Physical Therapist2305202476VA
2225100000XPhysical Therapist2305202476VA

General Provider Information

NPI Number : 1578902623
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER J HINER PT
Provider Business Mailing Address
First Line : 310 S BRIDGE ST
Second Line :
City : BEDFORD
State : VA
Zip : 24523-2706
Country : US
Telephone Number : 540-586-3933
Fax Number :
Provider Business Practice Location Address
First Line : 310 S BRIDGE ST
Second Line :
City : BEDFORD
State : VA
Zip : 24523-2706
Country : US
Telephone Number : 540-586-3933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2013
Last Update Date : 08/06/2020

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