Provider Demographics
NPI:1558727230
Name:SCHWARTZ, JENNIFER JOAN (PT, DPT, NCS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:JOAN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18510-1051
Mailing Address - Country:US
Mailing Address - Phone:484-363-3380
Mailing Address - Fax:570-941-7940
Practice Address - Street 1:823 MYRTLE ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-1051
Practice Address - Country:US
Practice Address - Phone:484-363-3380
Practice Address - Fax:570-941-7940
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018223225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist