Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA3324 | CA |
NPI | 1013424951 |
---|---|
Provider Name | Myra Cahambing |
First Address | Whittier, CA 90606 |
Second Address | Whittier, CA 90606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2017 |
Last Update Date | 31/12/2017 |