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NPI Code Detail

MEDICARE: REBEKAH JENKINS

MEDICARE:   REBEKAH  JENKINS
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1972153716
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH JENKINS
Provider Business Mailing Address
First Line : 1345 ENTERPRISE DR
Second Line :
City : WEST CHESTER
State : PA
Zip : 19380-5964
Country : US
Telephone Number : 484-787-2294
Fax Number :
Provider Business Practice Location Address
First Line : 630 CHURCHMANS RD STE 100A
Second Line :
City : NEWARK
State : DE
Zip : 19702-1943
Country : US
Telephone Number : 302-544-5055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2019
Last Update Date : 09/13/2019

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Directions to “ REBEKAH JENKINS ” Practice Location

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