Doctor Name: | LINDSAY MARIE KOLLER |
NPI Number: | 1194961813 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 35231 |
Business Practice Address: | 15725 Pomerado Rd Ste 106 Poway, CA - 920642057 |
Business Phone Number: | 8584874770 |
Business Fax Number: | 8584875013 |
Mailing Address: | 5905 Serverin Drive, LA MESA |
State: | CA |
Postal Code: | 919423806 |
Phone Number: | 6195892606 |
Fax Number: | 6194640900 |
NPI Enumeration Date: | 12/30/2008 |
NPI Last Update Date: | 06/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 35231 |
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 |