Provider Demographics
NPI:1972846533
Name:HOENE, JENNIFER MARGARET (PTA)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:MARGARET
Last Name:HOENE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9500 MICRON AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2618
Mailing Address - Country:US
Mailing Address - Phone:916-362-7962
Mailing Address - Fax:916-362-7963
Practice Address - Street 1:7281 LONE PINE DR # D106
Practice Address - Street 2:
Practice Address - City:RANCHO MURIETA
Practice Address - State:CA
Practice Address - Zip Code:95683-9715
Practice Address - Country:US
Practice Address - Phone:916-354-0719
Practice Address - Fax:916-354-1187
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-02
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT 8832225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant