Doctor Name: | TANYA SUSAN MCCAFFREY |
NPI Number: | 1124273701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT21933 |
Business Practice Address: | 255 North Willson Suite C Nipomo, CA - 93444 |
Business Phone Number: | 8059293230 |
Business Fax Number: | 8059293232 |
Mailing Address: | 201 N College Dr, Suite 203 SANTA MARIA |
State: | CA |
Postal Code: | 934544614 |
Phone Number: | 8059221724 |
Fax Number: | 8059222765 |
NPI Enumeration Date: | 11/24/2008 |
NPI Last Update Date: | 11/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT21933 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |