Doctor Name: | JENNA N JUSTEN |
NPI Number: | 1073759981 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2305205354 |
Business Practice Address: | 52 W Shirley Ave Warrenton, VA - 201863008 |
Business Phone Number: | 5403479220 |
Business Fax Number: | 5403470492 |
Mailing Address: | 12544 Dillingham Sq, WOODBRIDGE |
State: | VA |
Postal Code: | 221925259 |
Phone Number: | 7037306969 |
Fax Number: | 7037301169 |
NPI Enumeration Date: | 12/23/2008 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305205354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |