Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT5748 | CA |
NPI | 1285809616 |
---|---|
Provider Name | Patricia June True |
First Address | Fountain Valley, CA 92708-7321 |
Second Address | Fountain Valley, CA 92708-7321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2008 |
Last Update Date | 27/04/2008 |