Jensine Adams

Individual provider Active NPI Physical Therapist · N Charleston, SC

NPI 1235520701 · NPPES record last updated Feb 5, 2015

Key facts

NPI
1235520701
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
9241 University Blvd Ste B1
N Charleston, SC 29406-9349
Phone
(843) 764-4887
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
011461GAMDPediatric Dentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

9241 University Blvd Ste B1
N Charleston, SC 29406-9349

Mailing address

PO Box 1844
Clemson, SC 29633-1844

Other providers in N Charleston, SC

All providers in N Charleston, SC · Physical Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.