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Individual
JENNIFER RAWLINS
Active
Individual
JENNIFER RAWLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
48203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053320325
GROUP NPI
CA
01
—
ZZZ29361Z
MEDICARE GROUP PTAN
CA
Enumeration date
10/09/2015
Last updated
08/09/2019
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