Doctor Name: | JILL KOENIG |
NPI Number: | 1568799799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 15380 |
Business Practice Address: | 210 Jupiter Lakes Blvd Suite 5101 Jupiter, FL - 334587191 |
Business Phone Number: | 5617411876 |
Business Fax Number: | 8887211997 |
Mailing Address: | 210 Jupiter Lakes Blvd, Suite 5101 JUPITER |
State: | FL |
Postal Code: | 334587191 |
Phone Number: | 5617411876 |
Fax Number: | 8887211997 |
NPI Enumeration Date: | 11/09/2009 |
NPI Last Update Date: | 05/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 15380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |