Provider Demographics
NPI:1861736068
Name:SINGER, JENNIFER ROBIN (PT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ROBIN
Last Name:SINGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 OLD MILL CIR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-8254
Mailing Address - Country:US
Mailing Address - Phone:317-331-6722
Mailing Address - Fax:
Practice Address - Street 1:1518 OLD MILL CIR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8254
Practice Address - Country:US
Practice Address - Phone:317-331-6722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008127A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist