Individual
JENNIFER WILLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2021 COASTLAND AVE, SAN JOSE, CA 95125-2516
(415) 310-5703
Mailing address
2021 COASTLAND AVE, SAN JOSE, CA 95125-2516
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50757
CA
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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