Doctor Name: | KIMBERLEE A WACH |
NPI Number: | 1306987086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT28892 |
Business Practice Address: | 471 W Lambert Rd Ste #106 Brea, CA - 928213921 |
Business Phone Number: | 7142558877 |
Business Fax Number: | 7142558878 |
Mailing Address: | 200 Newport Center Drive, BREA |
State: | CA |
Postal Code: | 928213921 |
Phone Number: | 9496441322 |
Fax Number: | 9496441322 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT28892 |
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 |