Doctor Name: | DR. JENNIFER BALLENTINE EVANS |
NPI Number: | 1881757359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, WCS |
License Number: | PT33278 |
Business Practice Address: | 4601 Telephone Rd Suite 108 Ventura, CA - 930035670 |
Business Phone Number: | 8056441591 |
Business Fax Number: | 8056441593 |
Mailing Address: | 4601 Telephone Rd, Suite 108 VENTURA |
State: | CA |
Postal Code: | 930035670 |
Phone Number: | 8056441591 |
Fax Number: | 8056441593 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 04/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT33278 |
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 |