Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1033369004 |
---|---|
Provider Name | Jaime Winterrose |
First Address | Pasadena, CA 91107-3464 |
Second Address | Pasadena, CA 91107-3464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2008 |
Last Update Date | 24/03/2009 |