Doctor Name: | TRACE PATRIC POWER |
NPI Number: | 1265455240 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 24357 |
Business Practice Address: | 1 Peters Canyon Rd Ste 120 Irvine, CA - 926061799 |
Business Phone Number: | 9496793988 |
Business Fax Number: | 9496797665 |
Mailing Address: | 1 Peters Canyon Rd, Ste 120 IRVINE |
State: | CA |
Postal Code: | 926061799 |
Phone Number: | 9496793988 |
Fax Number: | 9496797665 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 24357 |
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 |