SearchCaliforniaPhysical Therapy Assistant

Jennie Phouthavong

NPI 1285429654 · on the registry since 2025 · sole proprietor

Practice

Address
300 Lantern Crest Way
Santee, CA 92071
Phone
(619) 312-0929
Organisation at this address
Mobile Therapy And Consulting
Sjc Management & Consulting Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California