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Organization
POW PHYSICAL THERAPY
Active
Organization
POW PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BALLENTINE EVANS PT, DPT, WCS (OWNER, PHYSICAL THERAPIST)
(310) 927-0039
Entity
Organization
Contact information
Practice address
4601 TELEPHONE RD, SUITE 108, VENTURA, CA 93003-5670
(310) 927-0039
Mailing address
4601 TELEPHONE RD, SUITE 108, VENTURA, CA 93003-5670
(310) 927-0039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33278
CA
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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