Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT27513 | CA |
NPI | 1063429926 |
---|---|
Provider Name | Robin Marie Christenson |
First Address | Irvine, CA 92614-6720 |
Second Address | Irvine, CA 92614-6720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 08/07/2007 |