Individual
JENNIFER RAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
27299 STONEHURST DR, MENIFEE, CA 92585-3419
(909) 772-3648
(951) 359-2096
Mailing address
27299 STONEHURST DR, MENIFEE, CA 92585-3419
(909) 772-3648
(951) 359-2096
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8385
CA
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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