NPI 1285429654

Jennie D Phouthavong

Practitioner Physical Therapy Assistant Santee, CA

Practice location

Address: 300 Lantern Crest Way, Santee, CA 92071-4775
Phone: (619) 312-0929
Mailing address: 13063 Wimberly Sq Unit 115, San Diego, CA 92128-6023

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA48583 (CA)

Other Physical Therapy Assistant providers in California →

Registry record

NPI: 1285429654
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2025
Record last updated: 14 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.