Pendergrass, Jennifer

Pendergrass, Jennifer is an individual health care provider with primary practice located at 2800 S Fort Ave , Springfield MO 65807-3480. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Pendergrass, Jennifer can be contacted via phone (417) 882-0035.

Contact Information

Primary practice address
2800 S Fort Ave Springfield MO 65807-3480
Phone: (417) 882-0035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2014024570 Missouri

Profile Details

NPI number 1083166730
LBN Legal business name Pendergrass, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2016
Last updated Oct 28th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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