Individual
JENNIFER LYNN ISSADORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 MICHIGAN AVE NW STE 1300, DEPT. OF PHYSICAL THERAPY, WASHINGTON, DC 20010-2916
(202) 476-3019
(202) 476-5979
Mailing address
111 MICHIGAN AVE NW STE 1300, DEPT. OF PHYSICAL THERAPY, WASHINGTON, DC 20010-2916
(202) 476-3019
(202) 476-5979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
20522
MD
2251P0200X
Pediatric Physical Therapist
Primary
PT870190
DC
Other
Enumeration date
06/11/2008
Last updated
11/06/2008
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