Individual provider · NPI-1
Jennifer Lynn Andress, PTA
Physical Medicine & Rehabilitation · Anchorage, AK
NPI number1174228696
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1174228696
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynn Andress
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2023
- Certification date
- Apr 3, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 204840 | AK | Yes |
Other names
- Jennifer Lynn Freiter (Former Name)
Practice location
11260 Old Seward HwyAnchorage, AK 99515-3098
Phone 907-341-5555
Mailing address
4360 Shoshoni AveAnchorage, AK 99516-3683
Phone 561-789-9512
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