Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 21594 | CA |
N | 2251P0200X | Physical Therapist - Pediatrics | 21594 | CA |
NPI | 1013960087 |
---|---|
Provider Name | Dr. Kimberly N Drndarski |
First Address | Santa Ana, CA 92701-4134 |
Second Address | Westminster, CA 92683 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 17/02/2014 |