Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | PT24347 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT24347 | CA |
NPI | 1205875960 |
---|---|
Provider Name | Jennifer Lynn Hsieh |
First Address | Placentia, CA 92870-3317 |
Second Address | Chino, CA 91710-5266 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |