Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT12358 | CA |
N | 2251C2600X | Cardiopulmonary | PT12358 | CA |
N | 2251E1200X | Ergonomics | PT12358 | CA |
N | 225XE1200X | Ergonomics | PT12358 | CA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT12358 | CA |
N | 2251H1200X | Hand | PT12358 | CA |
N | 2251N0400X | Physical Therapist - Neurology | PT12358 | CA |
N | 2251P0200X | Physical Therapist - Pediatrics | PT12358 | CA |
N | 2251S0007X | Physical Therapist - Sports | PT12358 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT12358 | CA |
NPI | 1750338976 |
---|---|
Provider Name | Dr. Cynthia Lynn Tumbleson |
First Address | North Las Vegas, NV 89084-3743 |
Second Address | Moreno Valley, CA 92557-4706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 29/03/2018 |