Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT18668 | CA |
NPI | 1033400148 |
---|---|
Provider Name | Romel Posada |
First Address | Monterey, CA 93940-2833 |
Second Address | Monterey, CA 93940-2833 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2011 |
Last Update Date | 22/04/2011 |