Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics |
NPI | 1003576513 |
---|---|
Provider Name | Diana Hsu Morris |
First Address | Pacifica, CA 94044-1534 |
Second Address | Palo Alto, CA 94304-1614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2021 |
Last Update Date | 23/12/2021 |