Dr. Jennifer Jordan Lander
Physical Therapist Physical Therapist - Neurology Physical Therapist - Pediatrics
163 Winding Way
Pembroke
, Georgia 31321-5535
Dr. Jennifer Jordan Lander
Physical Therapist Physical Therapist - Neurology Physical Therapist - Pediatrics
163 Winding Way
Pembroke
, Georgia 31321-5535
(912) 653-7979
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Neurology
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Dr. Jennifer Jordan Lander
- Po Box 39
- Pembroke, GA
- Zip : 31321-0039
- Fax : (912) 653-7979
- Phone : (912) 653-4863
Second Address
- Dr. Jennifer Jordan Lander
- 163 Winding Way
- Pembroke, GA
- Zip : 31321-5535
- Fax : (912) 653-7979
- Phone : (912) 547-0181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 4288 | GA |
| N | 2251N0400X | Physical Therapist - Neurology | 4288 | GA |
| Y | 2251P0200X | Physical Therapist - Pediatrics |
National Provider Identifier
| NPI | 1649225624 |
|---|---|
| Provider Name | Dr. Jennifer Jordan Lander |
| First Address | Pembroke, GA 31321-0039 |
| Second Address | Pembroke, GA 31321-5535 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2006 |
| Last Update Date | 24/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000859075A | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.