Doctor Name: | DR. BRADLEY PAUL JENKINS |
NPI Number: | 1629035233 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | OH-8844 |
Business Practice Address: | 36200 Euclid Ave Suite #5 Willoughby, OH - 440944400 |
Business Phone Number: | 4409180836 |
Business Fax Number: | 4409180853 |
Mailing Address: | 36200 Euclid Ave, Suite #5 WILLOUGHBY |
State: | OH |
Postal Code: | 440944400 |
Phone Number: | 4409180836 |
Fax Number: | 4409180853 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 02/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | OH-8844 |
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 |