Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | 294319 | CA |
N | 2251S0007X | Physical Therapist - Sports | 294319 | CA |
Y | 2251X0800X | Physical Therapist - Orthopedic | 294319 | CA |
NPI | 1437658945 |
---|---|
Provider Name | Nina Freitas |
First Address | Oakland, CA 94610-2442 |
Second Address | San Francisco, CA 94158-2335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2018 |
Last Update Date | 09/02/2018 |