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NPI Code Detail

MEDICARE: HEATHER H JENNINGS DPT

MEDICARE: HEATHER H JENNINGS 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 Therapist

General Provider Information

NPI Number : 1588984249
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER H JENNINGS DPT
Provider Business Mailing Address
First Line : 47160 HOLLSTEIN DR
Second Line :
City : AMHERST
State : OH
Zip : 44001-3338
Country : US
Telephone Number : 440-396-2349
Fax Number : 440-960-4646
Provider Business Practice Location Address
First Line : 1800 LIVINGSTON AVE
Second Line :
City : LORAIN
State : OH
Zip : 44052-3781
Country : US
Telephone Number : 440-233-1068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2010
Last Update Date : 04/01/2013

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Directions to “ HEATHER H JENNINGS DPT” Practice Location

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