Individual
DR. JENNIFER LINDSAY ROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
29480 WOODWARD AVE, ROYAL OAK, MI 48073-0903
(248) 541-9121
(248) 541-8386
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
(312) 640-0407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013716
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P55360008
MEDICARE PTAN
MI
Enumeration date
03/03/2009
Last updated
04/23/2014
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