Doctor Name: | MRS. CAROLOU A MUNSON |
NPI Number: | 1114176807 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT 6917 |
Business Practice Address: | 5845 Via Romero Yorba Linda, CA - 928873430 |
Business Phone Number: | 7147797009 |
Business Fax Number: | |
Mailing Address: | 5845 Via Romero, YORBA LINDA |
State: | CA |
Postal Code: | 928873430 |
Phone Number: | 7147797009 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2008 |
NPI Last Update Date: | 09/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT 6917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |