Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 27669 | CA |
N | 2251P0200X | Physical Therapist - Pediatrics | 27669 | CA |
N | 2251S0007X | Physical Therapist - Sports | 27669 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | 27669 | CA |
NPI | 1326350620 |
---|---|
Provider Name | Cora Maglaya |
First Address | Van Nuys, CA 91406-3335 |
Second Address | Encino, CA 91316-2889 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 24/05/2016 |