Individual provider · Type 1 NPI

Jennifer L. Vivanco, RPT

Specialist · Porter Ranch, CA

NPI number 1982767596 Active

Practice location

11239 Tampa Ave Ste 205
Porter Ranch, CA 91326-3782

Call (818) 831-0484 Map

Fax (818) 832-9389

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT20306 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1982767596

Jennifer L. Vivanco, RPT's National Provider Identifier is 1982767596, issued on Dec 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Porter Ranch, CA. The record was last updated on Feb 24, 2020.