Individual provider · Type 1 NPI

Meredith Leslie Erin Fruchtenicht

Pediatric Physical Therapist · San Ramon, CA

NPI number 1598073397 Active

Practice location

2500 Old Crow Canyon Rd, Building 100 Suite 112
San Ramon, CA 94583-1623

Call (925) 362-0683 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT26775 (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 1598073397

Meredith Leslie Erin Fruchtenicht's National Provider Identifier is 1598073397, issued on Sep 15, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Ramon, CA. The record was last updated on Sep 15, 2010.