Whalio Doctors

NPI 1033415807

Jennifer Ann Modzelewski, PTA

Practitioner Physical Therapy Assistant Naples, FL

Practice location

Address
4625 Bayshore Dr APT D16, Naples, FL 34112-4360
Phone
(586) 524-3089
Mailing address
978 Gibraltar Rd Unit 2, Key Largo, FL 33037-4609

Registered specialties (2)

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA25476 (FL)
Physical Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5502002091 (MI)

Registry record

NPI
1033415807
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Jan 2011
Record last updated
18 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.