Provider Demographics
NPI:1457625006
Name:TROMBLEY, JENNIFER APRIL (MSOTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:APRIL
Last Name:TROMBLEY
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WHITNEY RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-1844
Mailing Address - Country:US
Mailing Address - Phone:603-225-4153
Mailing Address - Fax:603-565-1092
Practice Address - Street 1:2 WHITNEY RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-1844
Practice Address - Country:US
Practice Address - Phone:603-225-4153
Practice Address - Fax:603-565-1092
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2222174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist