Provider Demographics
NPI:1417381435
Name:PFEFFER, JEANNETTE (PT,DPT)
Entity Type:Individual
Prefix:DR
First Name:JEANNETTE
Middle Name:
Last Name:PFEFFER
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12412 GRACE HILL LN
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-6936
Mailing Address - Country:US
Mailing Address - Phone:804-360-8790
Mailing Address - Fax:
Practice Address - Street 1:1570 EARLY SETTLERS RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4458
Practice Address - Country:US
Practice Address - Phone:804-330-9830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23050060772251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic