Doctor Name: | LORI ANN KORNBLATT |
NPI Number: | 1548407133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 12918 |
Business Practice Address: | 715 Pole Line Rd Davis, CA - 956184015 |
Business Phone Number: | 5307564900 |
Business Fax Number: | 5307564290 |
Mailing Address: | 1301 E Bidwell St, Suite 201 FOLSOM |
State: | CA |
Postal Code: | 956303452 |
Phone Number: | 9169835915 |
Fax Number: | 9169835932 |
NPI Enumeration Date: | 01/19/2009 |
NPI Last Update Date: | 01/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 12918 |
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 |