Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1558390070 |
---|---|
Provider Name | Mr. Marco Aurelio Barba |
First Address | Bakersfield, CA 93312-1931 |
Second Address | Bakersfield, CA 93309-0656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 08/07/2007 |