Individual
MS. JENNIFER ANN MODZELEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4625 BAYSHORE DR APT D16, NAPLES, FL 34112-4360
(586) 524-3089
Mailing address
978 GIBRALTAR RD, UNIT 2, KEY LARGO, FL 33037-4609
(586) 524-3089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
5502002091
MI
225200000X
Physical Therapy Assistant
Primary
PTA25476
FL
Other
Enumeration date
01/26/2011
Last updated
05/18/2021
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