Doctor Name: | MICHELLE MENDOZA |
NPI Number: | 1063796332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 36012 |
Business Practice Address: | 2480 Mission St Suite #331 San Francisco, CA - 941102468 |
Business Phone Number: | 4152826490 |
Business Fax Number: | 4152826491 |
Mailing Address: | 2480 Mission St, Suite #331 SAN FRANCISCO |
State: | CA |
Postal Code: | 941102468 |
Phone Number: | 4152826490 |
Fax Number: | 4152826491 |
NPI Enumeration Date: | 10/05/2011 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 36012 |
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 |