Provider Demographics
NPI:1942380050
Name:OSTROWSKI, JENNIFER A (DPM)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:A
Last Name:OSTROWSKI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8230 SPICEWOOD SPRINGS RD
Mailing Address - Street 2:#7
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-6864
Mailing Address - Country:US
Mailing Address - Phone:512-358-6479
Mailing Address - Fax:
Practice Address - Street 1:8230 SPICEWOOD SPRINGS RD
Practice Address - Street 2:#7
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6864
Practice Address - Country:US
Practice Address - Phone:512-358-6479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006097213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist