| Doctor Name: | JENNIFER HENSON SORIANO |
| NPI Number: | 1831555127 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 16870 |
| Business Practice Address: | 2225 E Edgewood Dr Suite 5 Lakeland, FL - 338033634 |
| Business Phone Number: | 8635139054 |
| Business Fax Number: | 8635830390 |
| Mailing Address: | 2225 E Edgewood Dr, Suite 5 LAKELAND |
| State: | FL |
| Postal Code: | 338033634 |
| Phone Number: | 8635139054 |
| Fax Number: | 8635830390 |
| NPI Enumeration Date: | 01/03/2016 |
| NPI Last Update Date: | 04/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 16870 |
| 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 |