Doctor Name: | SARAH MARIE TANK |
NPI Number: | 1366610057 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 34459 |
Business Practice Address: | 24012 Calle De La Plata Suite 300 Laguna Hills, CA - 926533621 |
Business Phone Number: | 9493406927 |
Business Fax Number: | 9492157246 |
Mailing Address: | 24012 Calle De La Plata, Suite 300 LAGUNA HILLS |
State: | CA |
Postal Code: | 926533621 |
Phone Number: | 9493406927 |
Fax Number: | 9492157246 |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 10/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 34459 |
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 |