MS. Jennifer Ann Modzelewski, PTA

NPI #1033415807 in Naples, Florida

Provider Information

NPI Number: 1033415807
Entity Type: Individual
Name: MS. Jennifer Ann Modzelewski, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 26, 2011
Last Updated: May 18, 2021

Practice Location

Address: 4625 BAYSHORE DR APT D16
City: Naples
State: Florida
ZIP Code: 34112-4360
Phone: (586) 524-3089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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