Doctor Name: | MISS JENNIFER LYNN EISENNAGEL |
NPI Number: | 1346520244 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT021184 |
Business Practice Address: | 1500 Horizon Dr Suite 102e Chalfont, PA - 189143966 |
Business Phone Number: | 2157120300 |
Business Fax Number: | 2157129040 |
Mailing Address: | 1500 Horizon Dr, Suite 102e CHALFONT |
State: | PA |
Postal Code: | 189143966 |
Phone Number: | 2157120300 |
Fax Number: | 2157129040 |
NPI Enumeration Date: | 08/23/2011 |
NPI Last Update Date: | 08/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT021184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |