Basic Information
| Provider Information | |||||||||
| NPI: | 1487063103 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CALLENDER | ||||||||
| FirstName: | JESSICA | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3252 WATERSTONE CT | ||||||||
| Address2: | |||||||||
| City: | FURLONG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189409206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2673044932 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2700 S EAGLE RD | ||||||||
| Address2: | |||||||||
| City: | NEWTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189401556 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003219999 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/06/2014 | ||||||||
| LastUpdateDate: | 10/17/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT023837 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.