Doctor Name: | KATHLEEN BRIDGET JEDLOVEC |
NPI Number: | 1598834913 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSPT MSTS PCS |
License Number: | PTH686 |
Business Practice Address: | 2075 Max Luther Drive Huntsville, AL - 358103859 |
Business Phone Number: | 2568525600 |
Business Fax Number: | 2568526722 |
Mailing Address: | 15007 Collier Drive, HUNTSVILLE |
State: | AL |
Postal Code: | 358033689 |
Phone Number: | 2568803263 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTH686 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |