Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 299420 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | 299420 | CA |
NPI | 1316540594 |
---|---|
Provider Name | Nataly Ochoa |
First Address | North Hollywood, CA 91605-1156 |
Second Address | Santa Paula, CA 93060-9129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2020 |
Last Update Date | 19/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
299420 | PHYSICAL THERAPIST LICENSE NUMBER (01) | CA |