Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 27822 | CA |
NPI | 1225264351 |
---|---|
Provider Name | Ms. Tracey Lyn Rinaldi |
First Address | Atascadero, CA 93422-3750 |
Second Address | Atascadero, CA 93422-3750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2009 |
Last Update Date | 03/06/2009 |