Provider Demographics
NPI:1114933819
Name:DABBS, JENNIFER MANNING (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:MANNING
Last Name:DABBS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1555 CONN AVE NW
Mailing Address - Street 2:SUITE 200 WEST
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-1111
Mailing Address - Country:US
Mailing Address - Phone:202-521-3335
Mailing Address - Fax:202-588-5104
Practice Address - Street 1:1555 CONN AVE NW
Practice Address - Street 2:SUITE 200 WEST
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1111
Practice Address - Country:US
Practice Address - Phone:202-521-3335
Practice Address - Fax:202-588-5104
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT870699225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist