# JENNINGS PHYSICAL THERAPY, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245520196
- **Authorized official:** LIA JENNINGS RPT (PRESIDENT)
- **Authorized official phone:** (805) 477-0909

## Contact information

- **Practice address:** 3875 TELEGRAPH RD, SUITE C, VENTURA, CA 93003-3419
- **Practice address phone:** (805) 477-0909
- **Mailing address:** 3875 TELEGRAPH RD, SUITE C, VENTURA, CA 93003-3419
- **Mailing address phone:** (805) 477-0909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT 17114 | CA | Yes |

## Other

- **Enumeration date:** 04/12/2011
- **Last updated:** 06/24/2014
