| Doctor Name: | MS. JENNIFER BRANDT |
| NPI Number: | 1578812954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT001687E |
| Business Practice Address: | 111 Elwyn Rd Elwyn, PA - 190634622 |
| Business Phone Number: | 6108912563 |
| Business Fax Number: | 6108912663 |
| Mailing Address: | 111 Elwyn Rd, ELWYN |
| State: | PA |
| Postal Code: | 190634622 |
| Phone Number: | 6108912563 |
| Fax Number: | 6108912663 |
| NPI Enumeration Date: | 08/31/2012 |
| NPI Last Update Date: | 08/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT001687E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |