Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 42355 | CA |
N | 2251E1200X | Ergonomics | 42355 | CA |
N | 225XE1200X | Ergonomics | 42355 | CA |
N | 2251S0007X | Physical Therapist - Sports | 42355 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | 42355 | CA |
NPI | 1497103816 |
---|---|
Provider Name | Mr. James Peter Milnes |
First Address | Los Angeles, CA 90045-1410 |
Second Address | Los Angeles, CA 90045-1410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2016 |
Last Update Date | 26/05/2016 |