Individual provider · Type 1 NPI
Shelby Forn, MPT
Pediatric Physical Therapist · Los Angeles, CA
Practice location
3301 Tareco Dr
Los Angeles, CA 90068-1527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT27055 (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 1649509803
Shelby Forn, MPT's National Provider Identifier is 1649509803, issued on Dec 17, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 17, 2009.