Provider Demographics
NPI:1003031089
Name:SAWDON-BEA, JENNA M (PT)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:M
Last Name:SAWDON-BEA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7080 DONLON WAY
Mailing Address - Street 2:#108
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2787
Mailing Address - Country:US
Mailing Address - Phone:925-556-4310
Mailing Address - Fax:925-556-0375
Practice Address - Street 1:7080 DONLON WAY
Practice Address - Street 2:#108
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2787
Practice Address - Country:US
Practice Address - Phone:925-556-4310
Practice Address - Fax:925-556-0375
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT23848225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ32426ZMedicare ID - Type Unspecified