Doctor Name: | JITKA KLIER |
NPI Number: | 1093071946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 32622 |
Business Practice Address: | 647 W Avenue Q Palmdale, CA - 935513893 |
Business Phone Number: | 6619498643 |
Business Fax Number: | 6619471631 |
Mailing Address: | 647 W Avenue Q, PALMDALE |
State: | CA |
Postal Code: | 935513893 |
Phone Number: | 6619498643 |
Fax Number: | 6619471631 |
NPI Enumeration Date: | 04/04/2012 |
NPI Last Update Date: | 11/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 32622 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |