| Doctor Name: | JENNIFER ANN SHIELDS |
| NPI Number: | 1023292018 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT. |
| License Number: | 10449 |
| Business Practice Address: | 11333 Sepulveda Blvd Mission Hills, CA - 913451116 |
| Business Phone Number: | 8183659531 |
| Business Fax Number: | 8188372709 |
| Mailing Address: | Po Box 9602, MISSION HILLS |
| State: | CA |
| Postal Code: | 913469602 |
| Phone Number: | 8188375691 |
| Fax Number: | 8187924793 |
| NPI Enumeration Date: | 12/26/2007 |
| NPI Last Update Date: | 04/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 10449 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |