Jennifer Fendrick in Brandon - Developmental Therapist
Jennifer Fendrick - NPI 1447354923
Jennifer Fendrick is a Developmental Therapist in Brandon, Florida. Jennifer Fendrick practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Jennifer Fendrick is 1447354923. The last update date is 2011-02-03.
Jennifer Fendrick's current location address is 602 Vonderburg Dr, Brandon, Florida. You can contact this provider via phone number 8136531149 and fax number 8136546644. The mailing address for Jennifer Fendrick is 602 Vonderburg Dr, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer Fendrick |
---|---|
Address | 602 Vonderburg Dr, Brandon, Florida |
Phone Number | 8136531149 |
Fax Number | 8136546644 |
Sole Proprietor | N |
Credentials | M.S., C.C. |
NPI Number Detail
NPI Number | 1447354923 |
---|---|
Provider Enumeration Date | 2006-09-12 |
Last Updated Date | 2011-02-03 |
Provider Mailing Address Detail
Address | 602 Vonderburg Dr |
---|---|
City | Brandon |
State | Florida (FL) |
Post Code | 335115900 |
Phone Number | 8136531149 |
Fax Number | 8136546644 |
Provider's Primary Taxonomy Detail
Speciality | Developmental Therapist |
---|---|
Taxonomy | 222Q00000X |
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
811997000 | FL | -- | |
886287700 | FL | -- | |
S2163 | FL | BC/BS OF FLORIDA # |
Post Comment/ Review Below
What is the Jennifer Fendrick's unique identification number?
The Jennifer Fendrick has been assigned the NPI (National Provider Identifier) Number 1447354923 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jennifer Fendrick is physically located?
The Jennifer Fendrick is situated at the following address: 602 Vonderburg Dr, Brandon, FL 335115900.
What is the area of specialization for Jennifer Fendrick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Fendrick is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 222Q00000X.
On what date did the Jennifer Fendrick receive its 1447354923 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Fendrick was assigned its 1447354923 by the Centers for Medicare & Medicaid Services on 2006-09-12.
As of what date were the Jennifer Fendrick's details last updated?
The information pertaining to the Jennifer Fendrick, including its address, specialty, and other details, was most recently updated on 2011-02-03.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN