Nikki Sarah Cornell
Physical Therapist Physical Therapist - Pediatrics
755 N Peach Ave Ste G14
Clovis
, California 93611-7264
Nikki Sarah Cornell
Physical Therapist Physical Therapist - Pediatrics
755 N Peach Ave Ste G14
Clovis
, California 93611-7264
(559) 433-4700
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Nikki Sarah Cornell
- 755 N Peach Ave Ste G14
- Clovis, CA
- Zip : 93611-7264
- Phone : (559) 433-4700
Second Address
- Nikki Sarah Cornell
- 755 N Peach Ave Ste G14
- Clovis, CA
- Zip : 93611-7264
- Phone : (559) 433-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT25933 | CA |
| Y | 2251P0200X | Physical Therapist - Pediatrics | PT25933 | CA |
National Provider Identifier
| NPI | 1134306350 |
|---|---|
| Provider Name | Nikki Sarah Cornell |
| First Address | Clovis, CA 93611-7264 |
| Second Address | Clovis, CA 93611-7264 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2008 |
| Last Update Date | 30/01/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.