Doctor Name: | DELMY CAROLINA CISNEROS |
NPI Number: | 1043351877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT INTERN |
License Number: | IMF 51072 |
Business Practice Address: | 2550 E Foothill Blvd Pasadena, CA - 911073406 |
Business Phone Number: | 6267445230 |
Business Fax Number: | 6267445242 |
Mailing Address: | 6714 4th Ave, LOS ANGELES |
State: | CA |
Postal Code: | 900434461 |
Phone Number: | 6267445230 |
Fax Number: | 6267445242 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | IMF 51072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |