Doctor Name: | DR. DENESE DAWN KAUFELDT MONTANO |
NPI Number: | 1528274867 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT18559 |
Business Practice Address: | 22995 Mill Creek Dr # A Laguna Hills, CA - 926531215 |
Business Phone Number: | 9497075555 |
Business Fax Number: | 9497075706 |
Mailing Address: | 11656 Butterfield St, LOMA LINDA |
State: | CA |
Postal Code: | 923543956 |
Phone Number: | 7608358455 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT18559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |