Tanesha Larae Atwell
Rehabilitation Practitioner
58945 Business Center Dr
Yucca Valley
, California 92284-7307
Tanesha Larae Atwell
Rehabilitation Practitioner
58945 Business Center Dr
Yucca Valley
, California 92284-7307
(760) 228-9657
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Tanesha Larae Atwell
- 58945 Business Center Dr
- Yucca Valley, CA
- Zip : 92284-7307
- Phone : (760) 228-9657
Second Address
- Tanesha Larae Atwell
- 58945 Business Center Dr
- Yucca Valley, CA
- Zip : 92284-7307
- Phone : (760) 228-9657
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Is Tanesha Larae Atwell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1033459474 |
|---|---|
| Provider Name | Tanesha Larae Atwell |
| First Address | Yucca Valley, CA 92284-7307 |
| Second Address | Yucca Valley, CA 92284-7307 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2013 |
| Last Update Date | 21/02/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.