Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT 41716 | CA |
NPI | 1003214032 |
---|---|
Provider Name | Christina Marie Cu-Unjieng |
First Address | Castro Valley, CA 94546-4055 |
Second Address | Castro Valley, CA 94546-4055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2014 |
Last Update Date | 03/01/2022 |