Provider Demographics
NPI:1588074454
Name:EGGERS, JENNIFER STEFFEN (PT, DPT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:STEFFEN
Last Name:EGGERS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LYN
Other - Last Name:STEFFEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:141 ATRIUM WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-6301
Mailing Address - Country:US
Mailing Address - Phone:843-388-7667
Mailing Address - Fax:843-388-7877
Practice Address - Street 1:3040 HIGHWAY 17 BYP N STE A
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-9438
Practice Address - Country:US
Practice Address - Phone:843-388-7667
Practice Address - Fax:843-388-7877
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC871356225100000X
AK2749225100000X
WI12623-24225100000X
SC9988225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist