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Provider Information for 1457999740

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know


Gender: FEMALE

Individual NPI: 1457999740

Calendar   Last Updated:  2019-12-17
  Certification Date:  2019-12-17


Name Value
NPI 1457999740
Enumeration Date 2019-12-17
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 9227 CECILIA ST
DOWNEY, CA 90241-3902
United States

Phone: 562-355-6095 | Fax:
View Map External Link
Primary Practice Address 9353 IMPERIAL HWY
DOWNEY, CA 90242-2812
United States

Phone: 562-657-2823 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Primary Taxonomy Selected Taxonomy State License Number
Yes 225100000X - Physical Therapist