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NPI Code Detail

MEDICARE: PAMELA A JENKINS RPT

MEDICARE:   PAMELA A JENKINS  RPT
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 TherapistPT 14656CA

General Provider Information

NPI Number : 1972626364
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA A JENKINS RPT
Provider Business Mailing Address
First Line : 20509 VOSE ST
Second Line :
City : WINNETKA
State : CA
Zip : 91306-3438
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5601 DESOTO AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91365
Country : US
Telephone Number : 818-719-2930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 12/01/2021

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Directions to “ PAMELA A JENKINS RPT” Practice Location

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