Doctor Name: | MS. NOEL MARIE SPINA |
NPI Number: | 1013168962 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, PCS |
License Number: | 16142 |
Business Practice Address: | 1815 W 213th St Ste 100 Torrance, CA - 905012852 |
Business Phone Number: | 3103280276 |
Business Fax Number: | |
Mailing Address: | 1815 W 213th St Ste 100, TORRANCE |
State: | CA |
Postal Code: | 905012852 |
Phone Number: | 3103280276 |
Fax Number: | |
NPI Enumeration Date: | 10/08/2008 |
NPI Last Update Date: | 10/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 16142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |