Jennifer Vivanco, RPT

NPI 1982767596 · on the registry since 2006 · sole proprietor

Practice

Address: 11239 Tampa Ave Ste 205
Porter Ranch, CA 91326
Phone: (818) 831-0484
Fax: (818) 832-9389
Organisation at this address: Priority Physical Therapy Inc
Serenity Ridge Palliative And Hospice Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-02-24

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