Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT22011 | CA |
NPI | 1053433565 |
---|---|
Provider Name | Yvonne Gee |
First Address | Fremont, CA 94536-5810 |
Second Address | Union City, CA 94587-3604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PT22011 | CA PT LICENSE (01) | CA |