Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT294011 | CA |
NPI | 1306356001 |
---|---|
Provider Name | Ms. Bree L Kay |
First Address | San Marcos, CA 92069-1203 |
Second Address | San Marcos, CA 92069-1203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2017 |
Last Update Date | 21/10/2020 |