Doctor Name: | MR. JEFFREY LAWRENCE JEFFERSON |
NPI Number: | 1942350129 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1083657 |
Business Practice Address: | 2802 Garth Rd Ste 109 Baytown, TX - 775213924 |
Business Phone Number: | 8325567750 |
Business Fax Number: | 8325560841 |
Mailing Address: | 10876 Lowrance Pl, BEAUMONT |
State: | TX |
Postal Code: | 777058940 |
Phone Number: | 4097943863 |
Fax Number: | 4097943863 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1083657 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
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 |