Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer S Fernandez, PTA

Individual provider Physical Therapy Assistant · NPI 1770763856

Jennifer S Fernandez, PTA is a Physical Therapy Assistant in Mill Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

619 E Blithedale Ave
Mill Valley, CA 94941-1468
Phone: (415) 388-5223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT4913 (CA)

Record details

NPI number1770763856
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 6, 2007
Last updated in NPPESNovember 6, 2007

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