Provider Demographics
NPI:1225176357
Name:DEMPSEY, JENNA ANNE (MPT)
Entity Type:Individual
Prefix:MS
First Name:JENNA
Middle Name:ANNE
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1439 WOODALL ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-5125
Mailing Address - Country:US
Mailing Address - Phone:410-385-1566
Mailing Address - Fax:
Practice Address - Street 1:1105 NORTH POINT BLVD
Practice Address - Street 2:# 326
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224
Practice Address - Country:US
Practice Address - Phone:410-285-4510
Practice Address - Fax:410-285-4511
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20906225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist