Doctor Name: | EVE SERENA VALERIE MAKDISI |
NPI Number: | 1124395512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 37882 |
Business Practice Address: | 3872 Shafter Ave Apt A Oakland, CA - 946092629 |
Business Phone Number: | 7077044137 |
Business Fax Number: | |
Mailing Address: | 3872 Shafter Ave Apt A, OAKLAND |
State: | CA |
Postal Code: | 946092629 |
Phone Number: | 7077044137 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2011 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 37882 |
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 |