Doctor Name: | JENNIFER ANGELA EAGLES |
NPI Number: | 1083752836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 1399 |
Business Practice Address: | 12124 High Tech Ave Ste 300 Orlando, FL - 328178373 |
Business Phone Number: | 8007747785 |
Business Fax Number: | |
Mailing Address: | 3403 E Main St, Space 2415 MESA |
State: | AZ |
Postal Code: | 852138683 |
Phone Number: | 9712856292 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1399 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ND |
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 |