Individual
DR. JENNIFER M PELLEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11085 LITTLE PATUXENT PKWY STE 207, COLUMBIA, MD 21044-2979
(410) 884-4111
Mailing address
5715 OLD BUGGY CT, COLUMBIA, MD 21045-2513
(610) 952-8961
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
25802
MD
2251X0800X
Orthopedic Physical Therapist
PT022075
PA
Other
Enumeration date
07/12/2012
Last updated
03/26/2024
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