Jennifer Mallonga, PT

NPI #1619329182 in Soquel, California

Provider Information

NPI Number: 1619329182
Entity Type: Individual
Name: Jennifer Mallonga, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 8, 2016
Last Updated: Jul 8, 2016

Practice Location

Address: 2901 PARK AVE
Address 2: STE B1
City: Soquel
State: California
ZIP Code: 95073-2831
Phone: (831) 706-2085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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