Doctor Name: | MISS KATRINA LYNN HERSKEDAL |
NPI Number: | 1417244922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT37967 |
Business Practice Address: | 28924 S Western Ave Suite 101 Rancho Palos Verdes, CA - 902750885 |
Business Phone Number: | 3105480104 |
Business Fax Number: | 3105480559 |
Mailing Address: | 28924 S Western Ave, Suite 101 RANCHO PALOS VERDES |
State: | CA |
Postal Code: | 902750885 |
Phone Number: | 3105480104 |
Fax Number: | 3105480559 |
NPI Enumeration Date: | 07/05/2011 |
NPI Last Update Date: | 07/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT37967 |
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 |