Doctor Name: | DR. CHRISTINA LEISEN |
NPI Number: | 1023414711 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T., D.P.T. |
License Number: | 41410 |
Business Practice Address: | 532 Sonoma Ave Apt A Santa Rosa, CA - 954018542 |
Business Phone Number: | 7072179157 |
Business Fax Number: | |
Mailing Address: | 532 Sonoma Ave Apt A, SANTA ROSA |
State: | CA |
Postal Code: | 954018542 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/07/2014 |
NPI Last Update Date: | 11/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 41410 |
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 |