Doctor Name: | MRS. KATHLEEN MARY CLODFELTER |
NPI Number: | 1558314518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT19149 |
Business Practice Address: | 200 W Santa Ana Blvd #100 Santa Ana, CA - 927014134 |
Business Phone Number: | 7143470300 |
Business Fax Number: | |
Mailing Address: | 25101 Armagosa Dr, LAGUNA NIGUEL |
State: | CA |
Postal Code: | 926771510 |
Phone Number: | 9492491034 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT19149 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |