Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT 12492 | CA |
N | 2251C2600X | Cardiopulmonary | PT 12492 | CA |
N | 2251E1200X | Ergonomics | PT 12492 | CA |
N | 225XE1200X | Ergonomics | PT 12492 | CA |
Y | 2251G0304X | Physical Therapist - Geriatrics | PT 12492 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT 12492 | CA |
NPI | 1881995215 |
---|---|
Provider Name | Marni Warner |
First Address | San Francisco, CA 94109-7356 |
Second Address | San Francisco, CA 94109-7356 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2010 |
Last Update Date | 17/11/2010 |