Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1033449871 |
---|---|
Provider Name | Ms. Rhonda Jeanne Rock |
First Address | Van Nuys, CA 91406-1219 |
Second Address | Van Nuys, CA 91406-1219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2009 |
Last Update Date | 05/08/2015 |