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Individual

DR. JENNIFER THAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1821 WILSHIRE BLVD, SUITE 400, SANTA MONICA, CA 90403-5618
(310) 828-2188
(310) 829-1379
Mailing address
1821 WILSHIRE BLVD, SUITE 400, SANTA MONICA, CA 90403-5618
(310) 828-2188
(310) 829-1379

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
41658
CA
2251X0800X
Orthopedic Physical Therapist
Primary
41658
CA

Other

Enumeration date
09/16/2014
Last updated
09/05/2019
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