| Doctor Name: | JENIFER WALSH |
| NPI Number: | 1053641456 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 7524 Gibraltar St Unit C Carlsbad, CA - 920097409 |
| Business Phone Number: | 8057954102 |
| Business Fax Number: | |
| Mailing Address: | 7524 Gibraltar St, Unit C CARLSBAD |
| State: | CA |
| Postal Code: | 920097409 |
| Phone Number: | 8057954102 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2010 |
| NPI Last Update Date: | 01/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |