Basic Information
Provider Information
NPI: 1376894527
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHLINGER
FirstName: JENNIFER
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 7746
Address2:  
City: SAINT PETERSBURG
State: FL
PostalCode: 337347746
CountryCode: US
TelephoneNumber: 7278985001
FaxNumber: 7278940554
Practice Location
Address1: 13011 SUMMERFIELD SQUARE DR
Address2:  
City: RIVERVIEW
State: FL
PostalCode: 335787402
CountryCode: US
TelephoneNumber: 8133742209
FaxNumber: 8133742211
Other Information
ProviderEnumerationDate: 09/27/2012
LastUpdateDate: 09/27/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT27744FLY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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