Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
N | 2251H1200X | Hand |
NPI | 1255485777 |
---|---|
Provider Name | Ms. Anne Catherine Jurek |
First Address | South San Francisco, CA 94080-3208 |
Second Address | South San Francisco, CA 94080-3208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 08/07/2007 |