Doctor Name: | MRS. GINA MARIE GUALENI |
NPI Number: | 1023152014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT17904 |
Business Practice Address: | 2842 Sepulveda Blvd Torrance, CA - 905052803 |
Business Phone Number: | 3103250800 |
Business Fax Number: | 3103257705 |
Mailing Address: | 1307 S Wycliff Ave, SAN PEDRO |
State: | CA |
Postal Code: | 907323949 |
Phone Number: | 3108323161 |
Fax Number: | 3103257705 |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT17904 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |