Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER A WAGENBACH
ActiveJENNIFER A WAGENBACH is a Physical Therapy Assistant healthcare provider located in LOMPOC, California. NPI 1851633259 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LOMPOC, CA
Registration Details
- NPI Number
- 1851633259
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2013 (13.212340308586 yrs)
- Last Updated
- Mar 23, 2013
- License
-
PT 38348 (CA)
Practice Information
- Address
-
177 VULCAN DRLOMPOC, CA, 934361406Browse CA providers · Browse ZIP 93436
- Phone
- 8057337500
- Fax
- 8057337510
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LOMPOC, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. DANIELLE THEONE WISWALL | MPT | 1215911235 |
| CALEB W STEWART | PT | 1225077738 |
| JUANITA L. CARNAHAN | P.T. | 1023106275 |
| SHEILA M. TEAL | P.T. | 1790875672 |
| HEIDI A. HOLDSAMBECK | P.T. | 1528158219 |
| TIMOTHY A. MAROZICK | PT | 1174773907 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.