Doctor Name: | KRISTIN MCNEALUS |
NPI Number: | 1467725200 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, ATP |
License Number: | PT29368 |
Business Practice Address: | 7105 Marina Pacifica Dr S Long Beach, CA - 908033816 |
Business Phone Number: | 5626456348 |
Business Fax Number: | |
Mailing Address: | 7105 Marina Pacifica Dr S, LONG BEACH |
State: | CA |
Postal Code: | 908033816 |
Phone Number: | 5626456348 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2012 |
NPI Last Update Date: | 02/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT29368 |
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 |