Individual
MRS. JENNIFER LYNN HARTFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2480 LIBERTY ST NE, SALEM, OR 97303-6780
(503) 763-3525
(503) 763-3526
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
4353
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227892
—
OR
01
—
5467820001
MEDICARE DME NUMBER
OR
Enumeration date
11/08/2005
Last updated
12/12/2023
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