Provider Demographics
NPI:1972810430
Name:BRANGERS, JENNIFER H (DPT)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:H
Last Name:BRANGERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:LEIGH
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:
Practice Address - Street 1:9241 UNIVERSITY BLVD
Practice Address - Street 2:SUITE B-1
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9349
Practice Address - Country:US
Practice Address - Phone:843-764-4887
Practice Address - Fax:854-764-4509
Is Sole Proprietor?:No
Enumeration Date:2010-09-04
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6071225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist