Provider Demographics
NPI:1215560701
Name:FROMBACH, JENNY ELIZABETH (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:ELIZABETH
Last Name:FROMBACH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 LOEFFLER RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002
Mailing Address - Country:US
Mailing Address - Phone:860-726-2400
Mailing Address - Fax:860-726-2425
Practice Address - Street 1:SYMBRIA REHAB 28100 TORCH PARKWAY, SUITE 600
Practice Address - Street 2:600
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555
Practice Address - Country:US
Practice Address - Phone:630-413-5800
Practice Address - Fax:630-413-5801
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002194225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist