Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1053690586 |
---|---|
Provider Name | Christina Kabiri |
First Address | Santa Clarita, CA 91321-4690 |
Second Address | Azusa, CA 91702-2709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2011 |
Last Update Date | 11/11/2013 |