Healthcare Provider Details

I. General information

NPI: 1972846533
Provider Name (Legal Business Name): JENNIFER MARGARET HOENE PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2013
Last Update Date: 03/28/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7281 LONE PINE DR # D106
RANCHO MURIETA CA
95683-9715
US

IV. Provider business mailing address

9500 MICRON AVE STE 106
SACRAMENTO CA
95827-2618
US

V. Phone/Fax

Practice location:
  • Phone: 916-354-0719
  • Fax: 916-354-1187
Mailing address:
  • Phone: 916-362-7962
  • Fax: 916-362-7963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberAT 8832
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: