Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 26253 | CA |
NPI | 1083827935 |
---|---|
Provider Name | Laura Katherine Schirmuhly |
First Address | Ladera Ranch, CA 92694-0210 |
Second Address | Laguna Hills, CA 92653-3621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 16/03/2010 |