Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 8040 | CA |
N | 2251C2600X | Cardiopulmonary | 8040 | CA |
N | 2251E1200X | Ergonomics | 8040 | CA |
N | 225XE1200X | Ergonomics | 8040 | CA |
N | 2251G0304X | Physical Therapist - Geriatrics | 8040 | CA |
N | 2251H1200X | Hand | 8040 | CA |
N | 2251H1300X | Human Factors | 8040 | CA |
N | 225XH1300X | Human Factors | 8040 | CA |
N | 2251N0400X | Physical Therapist - Neurology | 8040 | CA |
N | 2251P0200X | Physical Therapist - Pediatrics | 8040 | CA |
N | 2251S0007X | Physical Therapist - Sports | 8040 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | 8040 | CA |
NPI | 1598973323 |
---|---|
Provider Name | Mrs. Kim Leigh Archer |
First Address | West Hills, CA 91304-3135 |
Second Address | Woodland Hills, CA 91364-2733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |