Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT 13517 | CA |
NPI | 1730391202 |
---|---|
Provider Name | Ms. Patricia Saccomanno Brown |
First Address | Capistrano Beach, CA 92624-1043 |
Second Address | Capistrano Beach, CA 92624-1043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 08/07/2007 |