Provider / Organization | NPI | Date Certified |
---|---|---|
JENNA NICOLE SOMASUNDARAM | 1285086124 | 2022-12-03 |
Jenna Nicole Somasundaram is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285086124. Registration indicates Jenna Nicole Somasundaram is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Jenna Nicole Somasundaram DPT |
Other Provider Name | Jenna Nicole Hankard |
Practice Office Address | 1640 MARENGO ST STE 102 LOS ANGELES, CA US |
Practice Office Telephone | 3238651200 |
Mailing Address | PO BOX 31309 LOS ANGELES, CA 900310309 US |
Business Telephone | 3238651200 |
Code | Practice | License No State |
---|---|---|
225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT291797
CA |