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NPI Code Detail

MEDICARE: JENNIFER D BRENNAN DPT

MEDICARE: JENNIFER D BRENNAN 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 TherapistP17612NC

General Provider Information

NPI Number : 1609351964
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER D BRENNAN DPT
Provider Business Mailing Address
First Line : 6354 MONTERREY CREEK DR
Second Line :
City : DURHAM
State : NC
Zip : 27713-6225
Country : US
Telephone Number : 631-741-7855
Fax Number :
Provider Business Practice Location Address
First Line : 6000 FAYETTEVILLE RD
Second Line :
City : DURHAM
State : NC
Zip : 27713-9754
Country : US
Telephone Number : 631-741-7855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2018
Last Update Date : 02/13/2026

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