Doctor Name: | JENNIFER LYNNE GUDAKUNST |
NPI Number: | 1437375771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT.009717 |
Business Practice Address: | 11080 E Gypsy Lane Rd Bowling Green, OH - 434029564 |
Business Phone Number: | 4193538411 |
Business Fax Number: | 4193529403 |
Mailing Address: | 6527 Holcomb Rd, PEMBERVILLE |
State: | OH |
Postal Code: | 434509440 |
Phone Number: | 4192870006 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT.009717 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |