Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC19126 | CA |
N | 225200000X | Physical Therapy Assistant | AT3425 | CA |
NPI | 1821175837 |
---|---|
Provider Name | Ms. Roxane Geary |
First Address | West Hills, CA 91307-1904 |
Second Address | West Hills, CA 91307-1904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |