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Individual

JENNIE M MAURER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, PT

Contact information

Practice address
3765 E BLUE LUPINE DR STE E, WASILLA, AK 99654-8417
(907) 373-9462
(907) 373-9464
Mailing address
19401 S VERMONT AVE STE A200, TORRANCE, CA 90502-4418
(310) 323-6887
(310) 436-8285

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
225100000X
Physical Therapist
17576-24
WA
225100000X
Physical Therapist
Primary
CP052348T
AK

Other

Enumeration date
07/08/2014
Last updated
02/03/2026
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