Doctor Name: | SARAH BUENVIAJE HERMOGENO |
NPI Number: | 1023407772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | AT 9662 |
Business Practice Address: | 7120 Corbin Ave Reseda, CA - 913353618 |
Business Phone Number: | 8188814540 |
Business Fax Number: | |
Mailing Address: | 101 E State St, KENNETT SQUARE |
State: | PA |
Postal Code: | 193483109 |
Phone Number: | 8002434556 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2015 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | AT 9662 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |