Jodelyn Teofila Ettlin, PTA

NPI #1508284886 in Rohnert Park, California

Provider Information

NPI Number: 1508284886
Entity Type: Individual
Name: Jodelyn Teofila Ettlin, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 3, 2014
Last Updated: Apr 3, 2014

Practice Location

Address: 6174 STATE FARM DR
City: Rohnert Park
State: California
ZIP Code: 94928-2135
Phone: (707) 480-7789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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