Doctor Name: | JENNIFER ENRIQUEZ-JOHNSON |
NPI Number: | 1205942331 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 21496 |
Business Practice Address: | 2401 E Wardlow Rd Long Beach, CA - 908075309 |
Business Phone Number: | 5625935817 |
Business Fax Number: | 5629826735 |
Mailing Address: | 12300 Montecito Rd, 3 SEAL BEACH |
State: | CA |
Postal Code: | 907402743 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21496 |
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 |