Organization · Type 2 NPI

San Bernardino County Public Health Dept.

Pediatric Physical Therapist · Hesperia, CA

NPI number 1780761981 Active

Practice location

15922 Willow St, Siegrist Mtu
Hesperia, CA 92345-2848

Fax (760) 244-4975

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 1780761981

San Bernardino County Public Health Dept.'s National Provider Identifier is 1780761981, issued on Nov 1, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Hesperia, CA. The record was last updated on Nov 20, 2024.