DR. Jill Lister Whan, D.P.T.

NPI #1144413394 in Redondo Beach, California

Provider Information

NPI Number: 1144413394
Entity Type: Individual
Name: DR. Jill Lister Whan, D.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: D.P.T.
Enumeration Date: Aug 21, 2007
Last Updated: Sep 20, 2019

Practice Location

Address: 326 S PACIFIC COAST HWY STE 100
City: Redondo Beach
State: California
ZIP Code: 90277-3768
Phone: (310) 896-8763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Physical Therapist	225100000X	Primary

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