Provider Demographics
NPI:1134469117
Name:DESSENT, JENNIFER (DPT)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:DESSENT
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 1:7545 S HOUGHTON RD
Mailing Address - Street 2:SUITE 123
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-9377
Mailing Address - Country:US
Mailing Address - Phone:520-574-0200
Mailing Address - Fax:520-574-1800
Practice Address - Street 1:7545 S HOUGHTON RD
Practice Address - Street 2:SUITE 123
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-9377
Practice Address - Country:US
Practice Address - Phone:520-574-0200
Practice Address - Fax:520-574-1800
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist