Provider Demographics
NPI:1104064203
Name:SAUNDERS, JENNIFER LYN (DPT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYN
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 HIGHLAND RD APT 4208
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-1875
Mailing Address - Country:US
Mailing Address - Phone:412-576-5965
Mailing Address - Fax:
Practice Address - Street 1:35 HIGHLAND RD APT 4208
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1875
Practice Address - Country:US
Practice Address - Phone:412-576-5965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019716225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist