Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | AT6813 | CA |
NPI | 1013039007 |
---|---|
Provider Name | Sheri Skipton |
First Address | Stockton, CA 95201-3120 |
Second Address | French Camp, CA 95231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AT6813 | LICENSE (01) | CA |