Jennifer Bambrough, DPT | |
404 Lark Ln, Chattanooga, TN 37415-1902 | |
(262) 442-2188 | |
Not Available |
Full Name | Jennifer Bambrough |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 404 Lark Ln, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164024816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12211 (Tennessee) | Primary |
Provider Name | Dizzy Physical Therapist Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033877352 PECOS PAC ID: 7719377522 Enrollment ID: O20220414001290 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Bambrough, DPT 404 Lark Ln, Chattanooga, TN 37415-1902 Ph: (262) 442-2188 | Jennifer Bambrough, DPT 404 Lark Ln, Chattanooga, TN 37415-1902 Ph: (262) 442-2188 |
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