Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 35241 | CA |
NPI | 1033355896 |
---|---|
Provider Name | Erika Nicole Lindland |
First Address | San Anselmo, CA 94960-2416 |
Second Address | San Anselmo, CA 94960-2416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2008 |
Last Update Date | 29/12/2008 |