Jennifer Ann Modzelewski PTA

NPI 1033415807 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1033415807
Gender Female
Enumeration Date 01/26/2011
Last Updated 11/16/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
978 GIBRALTAR RD
UNIT 2
KEY LARGO FL, 33037-4609, US
Phone (586) 524-3089
Fax
Business Location
978 GIBRALTAR RD
UNIT 2
KEY LARGO FL, 33037-4609, US
Phone (586) 524-3089
Fax
Toxanomy
Taxonomy Code 225200000X
License State Indiana
License Number 06003128A
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According to our database, Ms. Jennifer Ann Modzelewski PTA NPI is 1033415807, taxonomy code is 225200000X and license number is 06003128A, license state is located at Indiana. Jennifer Ann Modzelewski PTA physically located at 978 Gibraltar Rd, Key Largo FL, 33037-4609. NPI Number Jennifer Ann Modzelewski PTA has the Individual type.

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1033415807 NPI number is provided on an as is basis without warranty of any kind. 1033415807 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Ann Modzelewski PTA are for informational purposes only.