Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT25929 | CA |
NPI | 1710913314 |
---|---|
Provider Name | Mrs. Christy Zucchero Smitheran |
First Address | Long Beach, CA 90803-4115 |
Second Address | Long Beach, CA 90806-2426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 26/05/2016 |