Provider Demographics
NPI:1437432572
Name:PLATT, JENNA N (DPT)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:N
Last Name:PLATT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 PUMPKIN DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-1544
Mailing Address - Country:US
Mailing Address - Phone:954-732-6922
Mailing Address - Fax:561-516-7080
Practice Address - Street 1:453 PUMPKIN DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-1544
Practice Address - Country:US
Practice Address - Phone:954-732-6922
Practice Address - Fax:561-516-7080
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26855225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist