MEDICARE: JENNA AHLIN 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
1	2251X0800X	Orthopedic Physical Therapist	2305216532	VA

General Provider Information

NPI Number	:	1932940582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA AHLIN PT, DPT

Provider Business Mailing Address
First Line	:	3711 WESTERRE PKWY UNIT C
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-1470
Country	:	US
Telephone Number	:	804-372-0291
Fax Number	:	804-508-6965

Provider Business Practice Location Address
First Line	:	3711 WESTERRE PKWY UNIT C
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-1470
Country	:	US
Telephone Number	:	804-372-0291
Fax Number	:

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

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	03/05/2026

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