Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT26511 | CA |
NPI | 1336343060 |
---|---|
Provider Name | Daniella Maureen Giles |
First Address | Redding, CA 96003-7991 |
Second Address | Redding, CA 96002-2005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 08/07/2007 |