Provider Demographics
NPI:1316482326
Name:GINSBERG, JENNIFER (DPT, PT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:GINSBERG
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 PARK ST
Mailing Address - Street 2:SUITE #200
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1571
Mailing Address - Country:US
Mailing Address - Phone:510-521-5900
Mailing Address - Fax:
Practice Address - Street 1:1700 PARK ST
Practice Address - Street 2:SUITE #200
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1571
Practice Address - Country:US
Practice Address - Phone:510-521-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT291851225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist