Provider Demographics
NPI:1881223287
Name:DONENBERG, JENNIFER GLENNA (PT, DPT, PCS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:GLENNA
Last Name:DONENBERG
Suffix:
Gender:F
Credentials:PT, DPT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 17TH ST NW STE 301
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2419
Mailing Address - Country:US
Mailing Address - Phone:847-507-1158
Mailing Address - Fax:
Practice Address - Street 1:1700 17TH ST NW STE 301
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2419
Practice Address - Country:US
Practice Address - Phone:847-507-1158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT8724972251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics