Individual provider · Type 1 NPI

Jennie D. Phouthavong

Physical Therapy Assistant · Santee, CA

NPI number 1285429654 Active

Practice location

300 Lantern Crest Way
Santee, CA 92071-4775

Call (619) 312-0929 Map

Mailing address

13063 Wimberly Sq Unit 115
San Diego, CA 92128-6023

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA48583 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1285429654

Jennie D. Phouthavong's National Provider Identifier is 1285429654, issued on Apr 14, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Santee, CA. The record was last updated on Apr 14, 2025.