Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | ||
N | 2251G0304X | Physical Therapist - Geriatrics | 40642 | CA |
N | 2251N0400X | Physical Therapist - Neurology | 40642 | CA |
N | 2251P0200X | Physical Therapist - Pediatrics | ||
N | 2251S0007X | Physical Therapist - Sports | 40642 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | 40642 | CA |
NPI | 1538695473 |
---|---|
Provider Name | Kylie E Rowe |
First Address | San Francisco, CA 94131-1863 |
Second Address | San Francisco, CA 94131-1863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2017 |
Last Update Date | 02/01/2021 |