Doctor Name: | TRICIA KARISSA CHENG AITA |
NPI Number: | 1265773030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 39931 |
Business Practice Address: | 1910 Old Tustin Ave Santa Ana, CA - 927057811 |
Business Phone Number: | 7148356638 |
Business Fax Number: | 7148354889 |
Mailing Address: | 1910 Old Tustin Ave, SANTA ANA |
State: | CA |
Postal Code: | 927057811 |
Phone Number: | 7148356638 |
Fax Number: | 7148354889 |
NPI Enumeration Date: | 03/04/2013 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 39931 |
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 |