Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT20124 | CA |
NPI | 1003102112 |
---|---|
Provider Name | Christy Marilo |
First Address | Fullerton, CA 92832-3038 |
Second Address | Fullerton, CA 92832-3038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2011 |
Last Update Date | 27/06/2011 |