Provider Demographics
NPI:1417606120
Name:ROWLAND, JENNIFER (PHD, PT, MS, MPH)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:PHD, PT, MS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4911 BRIDGEVILLE LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-2872
Mailing Address - Country:US
Mailing Address - Phone:832-523-3417
Mailing Address - Fax:
Practice Address - Street 1:4911 BRIDGEVILLE LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-2872
Practice Address - Country:US
Practice Address - Phone:832-523-3417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1224970225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty