Tana Jimenez, PT

NPI #1942530480 in Trabuco Canyon, California

Provider Information

NPI Number: 1942530480
Entity Type: Individual
Name: Tana Jimenez, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 6, 2010
Last Updated: Jan 6, 2010

Practice Location

Address: 28975 CANYON RIM DR
City: Trabuco Canyon
State: California
ZIP Code: 92679-1059
Phone: (714) 200-4274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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