Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT21556 | CA |
N | 2251E1200X | Ergonomics | PT21556 | CA |
N | 225XE1200X | Ergonomics | PT21556 | CA |
N | 2251H1300X | Human Factors | PT21556 | CA |
N | 225XH1300X | Human Factors | PT21556 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT21556 | CA |
NPI | 1639108459 |
---|---|
Provider Name | Ms. Becky Louise Sheaffer-Egan |
First Address | Aptos, CA 95003-3990 |
Second Address | Watsonville, CA 95076-3079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 11/02/2022 |