Doctor Name: | JENNIFER LYNN ISSADORE |
NPI Number: | 1134389398 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 20522 |
Business Practice Address: | 111 Michigan Ave Nw Ste 1300 Dept. Of Physical Therapy Washington, DC - 200102916 |
Business Phone Number: | 2024763019 |
Business Fax Number: | 2024765979 |
Mailing Address: | 111 Michigan Ave Nw Ste 1300, Dept. Of Physical Therapy WASHINGTON |
State: | DC |
Postal Code: | 200102916 |
Phone Number: | 2024763019 |
Fax Number: | 2024765979 |
NPI Enumeration Date: | 06/11/2008 |
NPI Last Update Date: | 11/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 20522 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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 |