Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 298906 | CA |
NPI | 1033713383 |
---|---|
Provider Name | Laura Delgado |
First Address | Arcadia, CA 91006-2314 |
Second Address | Torrance, CA 90503-5812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2020 |
Last Update Date | 03/01/2022 |