Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
N | 2251N0400X | Physical Therapist - Neurology | PT14709 | CA |
NPI | 1609099258 |
---|---|
Provider Name | Janet King Strasshofer |
First Address | Riverside, CA 92503-3236 |
Second Address | Fontana, CA 92335-6720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |