Doctor Name: | MRS. JENNIFER R HESS |
NPI Number: | 1346602794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1476 |
Business Practice Address: | 709 Quillen Ave Fountain Inn, SC - 296449444 |
Business Phone Number: | 8646011440 |
Business Fax Number: | |
Mailing Address: | 16 Cog Hill Dr, SIMPSONVILLE |
State: | SC |
Postal Code: | 296816307 |
Phone Number: | 8645254361 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2016 |
NPI Last Update Date: | 03/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 1476 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |