Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT12282 | CA |
NPI | 1013099365 |
---|---|
Provider Name | Andrea Emese Ecsedy |
First Address | Redding, CA 96002-2005 |
Second Address | Redding, CA 96002-2005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 22/04/2013 |