Individual provider · Type 1 NPI
Avena Semanisin
Pediatric Physical Therapist · San Diego, CA
Practice location
4333 Landis St
San Diego, CA 92105-2611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 310627 (CA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1194634980
Avena Semanisin's National Provider Identifier is 1194634980, issued on Sep 5, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Diego, CA. The record was last updated on Sep 5, 2026.