Provider Demographics
NPI:1275621096
Name:AARON, JENNIFER S (DPT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:S
Last Name:AARON
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 1:206 EL DORADO DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-7163
Mailing Address - Country:US
Mailing Address - Phone:804-784-7090
Mailing Address - Fax:804-784-7092
Practice Address - Street 1:38 BROAD STREET RD
Practice Address - Street 2:
Practice Address - City:MANAKIN SABOT
Practice Address - State:VA
Practice Address - Zip Code:23103-2213
Practice Address - Country:US
Practice Address - Phone:804-784-7090
Practice Address - Fax:804-784-7092
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist