Organization · Type 2 NPI
Shining Star Children's Therapy, Inc
Pediatric Physical Therapist · Pollock Pines, CA
Practice location
4287 Sly Park Rd
Pollock Pines, CA 95726-9007
Fax (866) 615-6143
Mailing address
PO Box 34120
Reno, NV 89533-4120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 20271 (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…
About NPI 1265850663
Shining Star Children's Therapy, Inc's National Provider Identifier is 1265850663, issued on Apr 2, 2014. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Pollock Pines, CA. The record was last updated on Apr 2, 2014.