Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT10446 | CA |
N | 2251S0007X | Physical Therapist - Sports | PT10446 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT10446 | CA |
NPI | 1043294341 |
---|---|
Provider Name | William Andrew Atkins |
First Address | Temecula, CA 92591-6200 |
Second Address | Fallbrook, CA 92028-3079 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 24/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0342092 | WA STATE DEPT OF LABOR AND INDUSTRIES (01) | CA |