Provider Demographics
NPI:1932420668
Name:MALANA-KATIGBAK, JENNIFER SY
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SY
Last Name:MALANA-KATIGBAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 NE 8TH DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2417
Mailing Address - Country:US
Mailing Address - Phone:407-369-0888
Mailing Address - Fax:
Practice Address - Street 1:7000 NE 8TH DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2417
Practice Address - Country:US
Practice Address - Phone:407-369-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT25345225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist