Doctor Name: | MRS. LAUREN YEE PERRONE |
NPI Number: | 1033343124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT, OCS |
License Number: | 24106 |
Business Practice Address: | 210 N Aviation Blvd Ste B Manhattan Beach, CA - 902667015 |
Business Phone Number: | 3103769200 |
Business Fax Number: | 3103769202 |
Mailing Address: | 210 N Aviation Blvd Ste B, MANHATTAN BEACH |
State: | CA |
Postal Code: | 902667015 |
Phone Number: | 3103769200 |
Fax Number: | 3103769202 |
NPI Enumeration Date: | 05/05/2009 |
NPI Last Update Date: | 05/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 24106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |