Provider Demographics
NPI:1245697523
Name:HWU, JENNIFER JING (PT, DPT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JING
Last Name:HWU
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 VIOLET AVE UNIT D
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-6788
Mailing Address - Country:US
Mailing Address - Phone:925-330-7606
Mailing Address - Fax:
Practice Address - Street 1:301 N LAKE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-4107
Practice Address - Country:US
Practice Address - Phone:626-568-9115
Practice Address - Fax:626-568-9232
Is Sole Proprietor?:No
Enumeration Date:2016-01-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA433102251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic