Doctor Name: | LAURA MICHELLE KELLEN |
NPI Number: | 1528338514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, ATC |
License Number: | 38417 |
Business Practice Address: | 250 E. Yale Loop Suite 201 Irvine, CA - 926044697 |
Business Phone Number: | 9492652442 |
Business Fax Number: | 9492652448 |
Mailing Address: | 250 E. Yale Loop, Suite 201 IRVINE |
State: | CA |
Postal Code: | 926044697 |
Phone Number: | 9492652442 |
Fax Number: | 9492652448 |
NPI Enumeration Date: | 01/06/2012 |
NPI Last Update Date: | 04/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 38417 |
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 |