Amy Elizabeth Renvall
Physical Therapist - Neurology
975 Sereno Dr C/o 3rd Floor Pnf Program
Vallejo
, California 94589-2441
Amy Elizabeth Renvall
Physical Therapist - Neurology
975 Sereno Dr C/o 3rd Floor Pnf Program
Vallejo
, California 94589-2441
(619) 977-7879
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Amy Elizabeth Renvall
- 11623 Via Bolsa
- El Cajon, CA
- Zip : 92019-4017
- Phone : (619) 977-7879
Second Address
- Amy Elizabeth Renvall
- 975 Sereno Dr C/o 3rd Floor Pnf Program
- Vallejo, CA
- Zip : 94589-2441
- Phone : (707) 651-2204
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | 37727 | CA |
National Provider Identifier
| NPI | 1104114099 |
|---|---|
| Provider Name | Amy Elizabeth Renvall |
| First Address | El Cajon, CA 92019-4017 |
| Second Address | Vallejo, CA 94589-2441 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2011 |
| Last Update Date | 03/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.