Doctor Name: | NICOLE TAPP |
NPI Number: | 1013374032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A. |
License Number: | |
Business Practice Address: | 14515 Hamlin St Suite 102 Van Nuys, CA - 914111608 |
Business Phone Number: | 8189897475 |
Business Fax Number: | 8189082434 |
Mailing Address: | 14515 Hamlin St, Suite 102 VAN NUYS |
State: | CA |
Postal Code: | 914111608 |
Phone Number: | 8189897475 |
Fax Number: | 8189082434 |
NPI Enumeration Date: | 01/21/2016 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |