Individual
JENELLE PATRICIA CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3809 PLAZA DR STE 112, OCEANSIDE, CA 92056-4625
(760) 941-2630
(760) 941-4617
Mailing address
3809 PLAZA DR STE 112, OCEANSIDE, CA 92056-4625
(760) 941-2630
(760) 941-4617
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT294053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT294053
CALIFORNIA PHYSICAL THERAPY LICENSE
CA
Enumeration date
11/22/2017
Last updated
06/16/2018
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