Doctor Name: | CHARLENE NORQUIST |
NPI Number: | 1003028515 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT 25785 |
Business Practice Address: | 16615 Lark Ave Ste 101 Los Gatos, CA - 950327645 |
Business Phone Number: | 4083581460 |
Business Fax Number: | |
Mailing Address: | 16615 Lark Ave Ste 101, LOS GATOS |
State: | CA |
Postal Code: | 950327645 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 02/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT 25785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |