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Individual

MRS. JENNIFER LYNN LONTOC ESCOBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
180 N. JACKSON AVE., SAN JOSE, CA 95116
(408) 259-8700
(408) 259-2343
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9417
CA

Other

Enumeration date
03/07/2011
Last updated
03/07/2011
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