Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 291888 | CA |
NPI | 1578013561 |
---|---|
Provider Name | Xiaoyin Wang |
First Address | San Francisco, CA 94105-4684 |
Second Address | San Francisco, CA 94105-4684 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2016 |
Last Update Date | 17/01/2022 |