Individual ProviderJennifer Leanne WilliamsPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6401 University Ave NE, Fridley, MN 55432-4341(763) 572-5710PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Leanne Williams does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1518153865Provider TypeIndividualFull NameWilliams, Jennifer LeanneCredentialP.T.GenderFemaleSole ProprietorNoEnumeration Date9/20/2007Last Updated9/20/2007Contact InformationPractice LocationPractice Address6401 University Ave NE, Fridley, MN 55432-4341Phone(763) 572-5710Fax(763) 586-5963Mailing LocationMailing Address6401 University Ave NE, Fridley, MN 55432-4341Phone(763) 572-5710FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense4782Minnesota