Provider Demographics
NPI:1255397493
Name:ROWAND, JENNIFER LYNN (DPT)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYNN
Last Name:ROWAND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7209 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-3104
Mailing Address - Country:US
Mailing Address - Phone:856-662-7524
Mailing Address - Fax:
Practice Address - Street 1:2902 ROUTE 130
Practice Address - Street 2:TENBY PLAZA
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-2525
Practice Address - Country:US
Practice Address - Phone:856-461-8331
Practice Address - Fax:856-461-9099
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA 01046600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist