Individual
JAELYN HENIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15373 INNOVATION DR STE 220, SAN DIEGO, CA 92128-3425
(858) 592-8855
Mailing address
1828 PINE VIEW RD, ALPINE, CA 91901-2290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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