Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT39896 | CA |
NPI | 1689216962 |
---|---|
Provider Name | Amy Neyer |
First Address | Torrance, CA 90503-6704 |
Second Address | Torrance, CA 90503-6704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2019 |
Last Update Date | 08/10/2019 |