Individual
MRS. JENNIFER BANICO SPURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
1601 BARTON RD APT 2109, REDLANDS, CA 92373-5346
(909) 798-3651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29150
CA
225200000X
Physical Therapy Assistant
Primary
5402
CA
Other
Enumeration date
08/19/2006
Last updated
09/11/2025
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