Basic Information
| Provider Information | |||||||||
| NPI: | 1871792424 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CALL | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | INTEGRITY REHAB GROUP, 1945 SCOTTSVILLE RD | ||||||||
| Address2: | B-2, PMB 356 | ||||||||
| City: | BOWLING GREEN | ||||||||
| State: | KY | ||||||||
| PostalCode: | 42104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2708428824 | ||||||||
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| Practice Location | |||||||||
| Address1: | SOUTHVIEW MEDICAL GROUP, 833 ST. VINCENT DR. | ||||||||
| Address2: | POB 3, SUITE 503 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059334440 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2007 | ||||||||
| LastUpdateDate: | 10/02/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT 25789 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.