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NPI Code Detail

MEDICARE: JENNIFER TOMPKINS DPT

MEDICARE:   JENNIFER  TOMPKINS  DPT
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
1225100000XPhysical Therapist37720CA
22251P0200XPediatric Physical Therapist37720CA

General Provider Information

NPI Number : 1922393370
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER TOMPKINS DPT
Provider Business Mailing Address
First Line : 3737 MARTIN LUTHER KING JR BLVD STE 604
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-3518
Country : US
Telephone Number : 616-289-5530
Fax Number :
Provider Business Practice Location Address
First Line : 3737 MARTIN LUTHER KING JR BLVD STE 604
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-3518
Country : US
Telephone Number : 616-289-5530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2011
Last Update Date : 11/15/2023

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Directions to “ JENNIFER TOMPKINS DPT” Practice Location

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