Individual ProviderJennifer Nicole Wegner FaschingPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5759 La Jolla Blvd, La Jolla, CA 92037-7302(858) 255-0092PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Nicole Wegner Fasching does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1073084653Provider TypeIndividualFull NameFasching, Jennifer Nicole WegnerCredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date12/7/2018Last Updated12/1/2021Contact InformationPractice LocationPractice Address5759 La Jolla Blvd, La Jolla, CA 92037-7302Phone(858) 255-0092FaxUnlisted FaxMailing LocationMailing Address6815 Summit Ridge Way, San Diego, CA 92120-1740PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT295187California