Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT 30114 | CA |
NPI | 1023082617 |
---|---|
Provider Name | Ms. Monica Linda Nava |
First Address | Oxnard, CA 93036-9068 |
Second Address | Oxnard, CA 93030-3841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 08/07/2007 |