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Contact Information

JENNIFER J LANDER, P. T.
163 WINDING WAY
PEMBROKE, GA31321-5535
 Phone: 912-547-0181
 Fax: 912-653-7979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
 

Neurology

2251N0400X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER J LANDER · (Female)

NPI Number 1649225624
Status Active
Credentials P. T.
Entity Individual
Enumeration date 05/24/2006
Last updated 02/24/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 4288
  • GA Medicaid 000859075A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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