Provider Demographics
NPI:1346340015
Name:ZENG, JENNIFER K (PT, DPT, MHS)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:K
Last Name:ZENG
Suffix:
Gender:F
Credentials:PT, DPT, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3822 PATHFINDER LN
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-8716
Mailing Address - Country:US
Mailing Address - Phone:815-212-0281
Mailing Address - Fax:815-725-6997
Practice Address - Street 1:3822 PATHFINDER LN
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8716
Practice Address - Country:US
Practice Address - Phone:815-212-0281
Practice Address - Fax:815-725-6997
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist