Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | PT19140 | CA |
Y | 2251P0200X | Physical Therapist - Pediatrics | PT19140 | CA |
NPI | 1710156005 |
---|---|
Provider Name | Mrs. Rebecca Aranda Fritz |
First Address | Ventura, CA 93004-1832 |
Second Address | Ventura, CA 93004-1832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2008 |
Last Update Date | 21/02/2008 |