Jennifer Nicole Wegner Fasching, PT, DPT Valid NPI
Individual provider · Physical Therapist · La Jolla, CA
- NPI
- 1073084653
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- PT295187 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-12-07
- Last updated
- 2021-12-01
Practice location
5759 La Jolla Blvd
La Jolla, CA 92037-7302
(858) 255-0092