Jennifer Bambrough, DPT
Physical Therapist in Chattanooga, TN. Individual provider (NPI-1).
NPI number1164024816
StatusActive
Last updated in NPPESMar 28, 2022
Details
- NPI
- 1164024816
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Bambrough
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2020
- Certification date
- Mar 28, 2022
- Last updated
- Mar 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 12211 | TN | Yes |
Practice location
404 Lark LnChattanooga, TN 37415-1902
Phone 262-442-2188
Mailing address
404 Lark LnChattanooga, TN 37415-1902
Phone 262-442-2188
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