Doctor Name: | MS. JENNIFER JAEN JAEN |
NPI Number: | 1689703720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 11009 |
Business Practice Address: | 39 Brighton Avenue Brighton, MA - 021342301 |
Business Phone Number: | 6177835783 |
Business Fax Number: | |
Mailing Address: | 47 Litchfield St, Apt. 102 BRIGHTON |
State: | MA |
Postal Code: | 021351440 |
Phone Number: | 6177338912 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |