Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 39244 | CA |
N | 2251E1200X | Ergonomics | 39244 | CA |
N | 225XE1200X | Ergonomics | 39244 | CA |
N | 2251N0400X | Physical Therapist - Neurology | 39244 | CA |
N | 2251P0200X | Physical Therapist - Pediatrics | 39244 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | 39244 | CA |
NPI | 1497002547 |
---|---|
Provider Name | Magdalena Bialas |
First Address | Anaheim, CA 92801-2608 |
Second Address | Anaheim, CA 92801-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2012 |
Last Update Date | 08/11/2012 |