Organization · Type 2 NPI

San Bernardino County Public Health

Pediatric Physical Therapist · Etiwanda, CA

NPI number 1255726113 Active

Practice location

12860 Banyan St
Etiwanda, CA 91739-9466

Mailing address

451 E Vanderbilt Way
San Bernardino, CA 92408-3641

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XNone listed
Pediatric Physical Therapist Primary 2251P0200XNone listed
Physical Therapy Assistant 225200000XNone listed
Pediatric Occupational Therapist 225XP0200XNone listed

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…

Another provider at this address

About NPI 1255726113

San Bernardino County Public Health's National Provider Identifier is 1255726113, issued on Mar 30, 2015. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Etiwanda, CA. The record was last updated on Nov 20, 2024.