Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 21178 | CA |
NPI | 1396062626 |
---|---|
Provider Name | Erica Adrienne Pitsch |
First Address | Los Altos, CA 94024-7238 |
Second Address | Los Altos, CA 94024-7238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 26/04/2010 |