Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 294559 | CA |
NPI | 1003334939 |
---|---|
Provider Name | Nicole-Ha Vo |
First Address | Harrisburg, PA 17110-9341 |
Second Address | Cupertino, CA 95014-2112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2017 |
Last Update Date | 03/01/2022 |