Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT25971 | CA |
NPI | 1114152519 |
---|---|
Provider Name | Ms. Joy Anne Huguet |
First Address | Burbank, CA 91506-2320 |
Second Address | Burbank, CA 91506-2958 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2009 |
Last Update Date | 28/05/2009 |