| Doctor Name: | MS. JENNIFER S TANAKA |
| NPI Number: | 1013190032 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 32597 |
| Business Practice Address: | 8031 Yorkshire Cir La Palma, CA - 906232026 |
| Business Phone Number: | 6266747050 |
| Business Fax Number: | |
| Mailing Address: | 8031 Yorkshire Cir, LA PALMA |
| State: | CA |
| Postal Code: | 906232026 |
| Phone Number: | 6266747050 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2007 |
| NPI Last Update Date: | 12/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251N0400X |
| License Number: | 32597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Neurology |
| Taxonomy Definition: | |