Provider Demographics
NPI:1497946842
Name:EPSTEIN, JODI LYNN (MPT)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:LYNN
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8333 W MCNAB RD
Mailing Address - Street 2:#223
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-3242
Mailing Address - Country:US
Mailing Address - Phone:561-860-2592
Mailing Address - Fax:561-404-0133
Practice Address - Street 1:8333 W MCNAB RD
Practice Address - Street 2:#223
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3242
Practice Address - Country:US
Practice Address - Phone:561-860-2592
Practice Address - Fax:561-404-0133
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2015-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist