Provider Demographics
NPI:1922145366
Name:TWINING, JENNIFER TAURAS (PT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:TAURAS
Last Name:TWINING
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 1:278 SORGHUM MILL RD
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:DE
Mailing Address - Zip Code:19934-1935
Mailing Address - Country:US
Mailing Address - Phone:302-698-3103
Mailing Address - Fax:303-697-4998
Practice Address - Street 1:278 SORGHUM MILL RD
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-1935
Practice Address - Country:US
Practice Address - Phone:302-698-3103
Practice Address - Fax:303-697-4998
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-00009372251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics