Doctor Name: | RYAN MICHAEL SOMERS |
NPI Number: | 1003033176 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT 33635 |
Business Practice Address: | 22772 Centre Dr Ste 100 Lake Forest, CA - 926306303 |
Business Phone Number: | 9499559499 |
Business Fax Number: | |
Mailing Address: | 9942 Foxrun Rd, SANTA ANA |
State: | CA |
Postal Code: | 927056103 |
Phone Number: | 6263190948 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 33635 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |