Provider Demographics
NPI:1306224233
Name:MCLANE, JENNA L (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JENNA
Middle Name:L
Last Name:MCLANE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1456 FERRY RD
Mailing Address - Street 2:SUITE 601
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2391
Mailing Address - Country:US
Mailing Address - Phone:215-489-3234
Mailing Address - Fax:215-489-0131
Practice Address - Street 1:1456 FERRY RD
Practice Address - Street 2:SUITE 601
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2391
Practice Address - Country:US
Practice Address - Phone:215-357-2000
Practice Address - Fax:215-357-8499
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT021715225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA421208RKEMedicare UPIN