Doctor Name: | ANDREA EMESE ECSEDY |
NPI Number: | 1013099365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT12282 |
Business Practice Address: | 3278 Bechelli Ln Redding, CA - 960022005 |
Business Phone Number: | 5302239474 |
Business Fax Number: | 5302236937 |
Mailing Address: | 3278 Bechelli Ln, REDDING |
State: | CA |
Postal Code: | 960022005 |
Phone Number: | 5302239474 |
Fax Number: | 5302236937 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 04/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251N0400X |
License Number: | PT12282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Neurology |
Taxonomy Definition: |