Provider Demographics
NPI:1386941102
Name:MEIGHAN, JENNIFER LYNN (PTA)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LYNN
Last Name:MEIGHAN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 PRINCETON-HIGHTSTOWN ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-1411
Mailing Address - Country:US
Mailing Address - Phone:609-426-4442
Mailing Address - Fax:609-443-0910
Practice Address - Street 1:300A PRINCETON-HIGHTSTOWN ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1411
Practice Address - Country:US
Practice Address - Phone:609-426-4442
Practice Address - Fax:609-443-0910
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QB00263900225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant