Doctor Name: | PATTIE WHITEHURST |
NPI Number: | 1053705608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT,PT |
License Number: | 40292 |
Business Practice Address: | 13939 E 14th St Ste 150 San Leandro, CA - 945782601 |
Business Phone Number: | 5103438300 |
Business Fax Number: | |
Mailing Address: | 2432 Mckinley Ave, BERKELEY |
State: | CA |
Postal Code: | 947031928 |
Phone Number: | 2523670633 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2015 |
NPI Last Update Date: | 03/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40292 |
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 |