# JENNERATIONAL REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JENNERATIONAL REHAB LLC
- **Other names:** The Pelvic Floor Institute
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861228512
- **Legal business name:** JENNERATIONAL REHAB LLC
- **Authorized official:** MARISSA BROOKE JADICK (DIRECTOR, CREDENTIALING)
- **Authorized official phone:** (251) 445-3391

## Contact information

- **Practice address:** 4638 BIT AND SPUR RD, MOBILE, AL 36608-2646
- **Practice address phone:** (251) 699-0295
- **Practice address fax:** (251) 699-0295
- **Mailing address:** 4638 BIT AND SPUR RD, MOBILE, AL 36608-2646
- **Mailing address phone:** (251) 699-0295
- **Mailing address fax:** (251) 699-0295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2024
- **Last updated:** 09/10/2024