Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1083824825 |
---|---|
Provider Name | Dr. Karen Lee Perell |
First Address | Yorba Linda, CA 92887-3121 |
Second Address | Fullerton, CA 92831-3547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |