Jennerational Rehab LLC

NPI #1861228512 in Mobile, Alabama

Provider Information

NPI Number: 1861228512
Entity Type: Organization
Organization Name: Jennerational Rehab LLC
Subpart: Yes (part of a larger organization)
Parent Organization: JENNERATIONAL REHAB LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 10, 2024
Last Updated: Sep 10, 2024

Practice Location

Address: 4638 BIT AND SPUR RD
City: Mobile
State: Alabama
ZIP Code: 36608-2646
Phone: (251) 699-0295

Authorized Official

Name: MARISSA BROOKE JADICK
Title: DIRECTOR, CREDENTIALING
Phone: (251) 445-3391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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