Provider Demographics
NPI:1558887190
Name:SYDNOR, JENNIFER BRYANT (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BRYANT
Last Name:SYDNOR
Suffix:
Gender:F
Credentials:PT, DPT
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Mailing Address - Street 1:8205 PRESIDENTS DR FL 2
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8621
Mailing Address - Country:US
Mailing Address - Phone:717-839-2159
Mailing Address - Fax:717-565-1104
Practice Address - Street 1:4011B WARDS RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2943
Practice Address - Country:US
Practice Address - Phone:434-582-9838
Practice Address - Fax:434-582-9852
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2019-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2305211373208100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation