Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 33559 | CA |
NPI | 1073818084 |
---|---|
Provider Name | Kristina Alanes |
First Address | Anaheim, CA 92805-6549 |
Second Address | Anaheim, CA 92805-6549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2011 |
Last Update Date | 21/10/2014 |