Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 226300000X | Kinesiotherapist |
NPI | 1952769663 |
---|---|
Provider Name | Cynthia Miller |
First Address | Anaheim, CA 92807-4317 |
Second Address | Anaheim, CA 92807-4317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2016 |
Last Update Date | 09/02/2016 |