Provider Demographics
NPI:1225484777
Name:RHODES, JENNIFER ALANA (PT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ALANA
Last Name:RHODES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-2710
Mailing Address - Country:US
Mailing Address - Phone:415-793-7527
Mailing Address - Fax:
Practice Address - Street 1:400 PARNASSUS AVE. A-68 REHABILITATIVE SERVICES
Practice Address - Street 2:UCSF MEDICAL CENTER AT PARNASSUS HEIGHTS BOX 0228
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0228
Practice Address - Country:US
Practice Address - Phone:415-795-7527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34175225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist