Most Relevant Information
Provider Data
| NPI Number: | 1003276940 |
| Provider Name: | JENNIFER BISHOP |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 31206 |
Most Important Dates
| Enumeration Date: | 03/04/2016 |
| Last Updated: | 03/04/2016 |
Provider Practice Location
1056 E BRANDON BLVD
BRANDON
FL
335115509
Practice Location Phone/Fax
| Phone: | 8134135513 |
| Fax: | 8136818300 |
Provider Mailing Location
1056 E BRANDON BLVD
BRANDON
FL
335115509
Provider Mailing Phone/Fax
| Phone: | 8134135513 |
| Fax: | 8136818300 |