Doctor Name: | JENNIE HYLAND |
NPI Number: | 1326450842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 3115337 |
Business Practice Address: | 4701 W Parker Rd Suite 625 Plano, TX - 750933376 |
Business Phone Number: | 9723982555 |
Business Fax Number: | 9723989003 |
Mailing Address: | 335 Roselane St Nw, Suite 201 MARIETTA |
State: | GA |
Postal Code: | 300607902 |
Phone Number: | 4702595226 |
Fax Number: | 2673212044 |
NPI Enumeration Date: | 06/02/2014 |
NPI Last Update Date: | 03/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 3115337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |