Doctor Name: | PAMELA RENEE INBAR-HANSEN |
NPI Number: | 1013218320 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PT17507 |
Business Practice Address: | 1356 University Ave Berkeley, CA - 947021711 |
Business Phone Number: | 5108455537 |
Business Fax Number: | 5108455537 |
Mailing Address: | 1356 University Ave, BERKELEY |
State: | CA |
Postal Code: | 947021711 |
Phone Number: | 5108455537 |
Fax Number: | 5108455537 |
NPI Enumeration Date: | 11/03/2010 |
NPI Last Update Date: | 11/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251N0400X |
License Number: | PT17507 |
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: |