Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT 35180 | CA |
NPI | 1104180868 |
---|---|
Provider Name | Erin Abbey Mueth |
First Address | Monrovia, CA 91016-3431 |
Second Address | Monrovia, CA 91016-3431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 27/06/2012 |