Healthcare Provider Details

I. General information

NPI: 1205875960
Provider Name (Legal Business Name): JENNIFER LYNN HSIEH P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13691 BENSON AVE
CHINO CA
91710-5266
US

IV. Provider business mailing address

227 SHEFFIELD ST
PLACENTIA CA
92870-3317
US

V. Phone/Fax

Practice location:
  • Phone: 909-628-4141
  • Fax: 909-628-4242
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPT24347
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT24347
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: