Doctor Name: | MS. PAMELA LYNNE ADEN |
NPI Number: | 1356523971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 15638 |
Business Practice Address: | 208 Redwood Ave Corte Madera, CA - 949251572 |
Business Phone Number: | 4159247757 |
Business Fax Number: | |
Mailing Address: | 208 Redwood Ave, CORTE MADERA |
State: | CA |
Postal Code: | 949251572 |
Phone Number: | 4159247757 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2007 |
NPI Last Update Date: | 12/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 15638 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |