Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 38272 | CA |
NPI | 1003188855 |
---|---|
Provider Name | Lindsay Aho |
First Address | Riverside, CA 92501-3522 |
Second Address | Riverside, CA 92501-3522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2012 |
Last Update Date | 08/02/2012 |