Individual provider · Type 1 NPI

Jennifer Deann Deguentz, PT

Specialist · Hazelwood, MO

NPI number 1962717223 Active

Practice location

1 Village Sq Ste A
Hazelwood, MO 63042-1817

Fax (314) 551-6105

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X103418 (MO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962717223

Jennifer Deann Deguentz, PT's National Provider Identifier is 1962717223, issued on Aug 11, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hazelwood, MO. The record was last updated on Aug 11, 2010.