Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 2000011797 | CA |
NPI | 1497164776 |
---|---|
Provider Name | Valerie Pintar |
First Address | San Diego, CA 92110-5851 |
Second Address | Spring Valley, CA 91978-2331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2014 |
Last Update Date | 12/08/2014 |