Provider Demographics
NPI:1912363151
Name:POPIEMLARP, JENNY (PT)
Entity Type:Individual
Prefix:MS
First Name:JENNY
Middle Name:
Last Name:POPIEMLARP
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8510 BALBOA BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-3583
Mailing Address - Country:US
Mailing Address - Phone:818-637-2000
Mailing Address - Fax:818-654-3417
Practice Address - Street 1:101 S 1ST ST
Practice Address - Street 2:STE 1800
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1938
Practice Address - Country:US
Practice Address - Phone:818-558-7252
Practice Address - Fax:818-558-7312
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA43492225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist