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General NPI Number Information
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NPI Number | 1417871716
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Entity Type | Individual
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Provider Name | JENNA CHRISTINE SALAS DPT
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 2015 MANHATTAN BEACH BLVD STE 102B
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City | REDONDO BEACH
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State | CA
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Zip | 90278-1230
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Country | US
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Telephone | 310-426-9570
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Fax | 310-426-9572
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Provider Business Mailing Address
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Address Line | 4620 S SLAUSON AVE APT 203
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City | CULVER CITY
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State | CA
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Zip | 90230-5181
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Country | US
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Telephone | 925-354-3903
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 310639
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License Number State | CA
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