Doctor Name: | MICHELLE KOTTER |
NPI Number: | 1154642544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 36277 |
Business Practice Address: | 320 Alisal Rd Ste 406 Solvang, CA - 934633750 |
Business Phone Number: | 8056885000 |
Business Fax Number: | 8056884615 |
Mailing Address: | 590 Sycamore Dr, BUELLTON |
State: | CA |
Postal Code: | 934276816 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/20/2010 |
NPI Last Update Date: | 06/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 36277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |