| Doctor Name: | JENNIFER MOONEY |
| NPI Number: | 1255750592 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 010736 |
| Business Practice Address: | 8701 Darrow Rd Twinsburg, OH - 440872105 |
| Business Phone Number: | 3308884000 |
| Business Fax Number: | 3308884145 |
| Mailing Address: | 60 Quartz Ave, PENINSULA |
| State: | OH |
| Postal Code: | 442649593 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2014 |
| NPI Last Update Date: | 04/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 010736 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |