Individual
JENNIFER L DIRNBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CSCI
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001031551
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33238041
BCBS KC
—
01
—
MA4370008
MEDICARE PTAN
MO
Enumeration date
05/28/2006
Last updated
01/21/2014
Update your record
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