Individual
JENNIFER DANIELL PENTRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
633 LASSEN LN, MOUNT SHASTA, CA 96067-9002
(530) 926-6010
(530) 926-6909
Mailing address
633 LASSEN LN, MOUNT SHASTA, CA 96067-9002
(530) 926-6010
(530) 926-6909
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
118190
CA
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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