Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT-22010 | CA |
NPI | 1093961047 |
---|---|
Provider Name | Mr. Richard Steven Gee |
First Address | Fremont, CA 94536-5810 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2008 |
Last Update Date | 11/08/2008 |