Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT10326 | CA |
NPI | 1134363674 |
---|---|
Provider Name | Mrs. Patricia S Yavorsky |
First Address | San Clemente, CA 92673-2808 |
Second Address | San Clemente, CA 92673-2808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2009 |
Last Update Date | 28/04/2009 |