Doctor Name: | JEANENE MARIE NOVER |
NPI Number: | 1003842857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT00008354 |
Business Practice Address: | 840 Madison Ave N Suite 102 Bainbridge Island, WA - 981101769 |
Business Phone Number: | 2068550955 |
Business Fax Number: | 2068550801 |
Mailing Address: | 840 Madison Ave N, Suite 102 BAINBRIDGE ISLAND |
State: | WA |
Postal Code: | 981101823 |
Phone Number: | 2068550955 |
Fax Number: | 2068550801 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00008354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |