Provider Demographics
NPI:1679834451
Name:BURSZTEIN, JENNIFER HELICE (PT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:HELICE
Last Name:BURSZTEIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4768 S CLASSICAL BLVD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-1225
Mailing Address - Country:US
Mailing Address - Phone:561-901-7374
Mailing Address - Fax:
Practice Address - Street 1:17557 CLARIDGE OVAL W
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1336
Practice Address - Country:US
Practice Address - Phone:561-451-4900
Practice Address - Fax:561-207-7853
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT8942225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist