Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 300248 | CA |
NPI | 1063089027 |
---|---|
Provider Name | Dr. Amanda Aaron Hays |
First Address | Long Beach, CA 90808-3321 |
Second Address | Las Vegas, NV 89146-3151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2021 |
Last Update Date | 08/06/2021 |