Provider Demographics
NPI:1497491708
Name:BLOCH, JENNA MORGAN (DPT)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:MORGAN
Last Name:BLOCH
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 1:5899 WHITFIELD AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-3127
Mailing Address - Country:US
Mailing Address - Phone:941-355-5565
Mailing Address - Fax:
Practice Address - Street 1:5899 WHITFIELD AVE STE 100
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-3127
Practice Address - Country:US
Practice Address - Phone:941-355-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist