Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 9323 | NC |
N | 225100000X | Physical Therapist | PT19862 | FL |
Y | 2251N0400X | Physical Therapist - Neurology | PT19862 | FL |
NPI | 1265504450 |
---|---|
Provider Name | Dr. Jennifer Skuly Meadows |
First Address | Bradenton, FL 34212-2902 |
Second Address | Bradenton, FL 34209-4604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 16/12/2009 |