Provider Demographics
NPI:1538609573
Name:GABRYNOWICZ, JENNIFER BARBER (DPT)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:BARBER
Last Name:GABRYNOWICZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 BARKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9675
Mailing Address - Country:US
Mailing Address - Phone:646-431-4711
Mailing Address - Fax:
Practice Address - Street 1:1635 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-2305
Practice Address - Country:US
Practice Address - Phone:828-693-8128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16818225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist