MEDICARE: MISS JENNIFER MARGARET HOENE PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	AT 8832	CA

General Provider Information

NPI Number	:	1972846533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JENNIFER MARGARET HOENE PTA

Provider Business Mailing Address
First Line	:	9500 MICRON AVE STE 106
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2618
Country	:	US
Telephone Number	:	916-362-7962
Fax Number	:	916-362-7963

Provider Business Practice Location Address
First Line	:	7281 LONE PINE DR # D106
Second Line	:
City	:	RANCHO MURIETA
State	:	CA
Zip	:	95683-9715
Country	:	US
Telephone Number	:	916-354-0719
Fax Number	:	916-354-1187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2013
Last Update Date	:	03/28/2022

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