Doctor Name: | DIANE J COKER |
NPI Number: | 1194720474 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT08251 |
Business Practice Address: | 24331 El Toro Rd Ste 200 Laguna Woods, CA - 926372753 |
Business Phone Number: | 9495863200 |
Business Fax Number: | 9499002136 |
Mailing Address: | Po Box 31063, LAGUNA HILLS |
State: | CA |
Postal Code: | 926541063 |
Phone Number: | 9495863200 |
Fax Number: | 9499002136 |
NPI Enumeration Date: | 06/14/2005 |
NPI Last Update Date: | 09/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT08251 |
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. |