Doctor Name: | JENNIFER LYNN KOTLARCZYK |
NPI Number: | 1083656185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT21671 |
Business Practice Address: | 3030 University Pkwy Sarasota, FL - 342432502 |
Business Phone Number: | 9413598233 |
Business Fax Number: | 9413598255 |
Mailing Address: | 7216 Us Highway 301 N, Suite 115 ELLENTON |
State: | FL |
Postal Code: | 342223462 |
Phone Number: | 9417290003 |
Fax Number: | 9417290004 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 07/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT21671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |