Doctor Name: | MRS. RENEE GRINNELL CAPOZZOLA |
NPI Number: | 1033413463 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 22426 |
Business Practice Address: | 1 Civic Plaza Dr Suite # 625 Carson, CA - 907452243 |
Business Phone Number: | 3105494500 |
Business Fax Number: | 3105494700 |
Mailing Address: | 714 11th St, HERMOSA BEACH |
State: | CA |
Postal Code: | 902543938 |
Phone Number: | 3102106374 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2010 |
NPI Last Update Date: | 12/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 22426 |
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 |