Doctor Name: | DR. JOANNA MARIE MALLARI JIMENEZ |
NPI Number: | 1588741193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, NCS |
License Number: | PT23273 |
Business Practice Address: | 742 Price Drive Burbank, CA - 915042349 |
Business Phone Number: | 8188479688 |
Business Fax Number: | 8188479688 |
Mailing Address: | 742 Price Drive, BURBANK |
State: | CA |
Postal Code: | 915042349 |
Phone Number: | 8188479688 |
Fax Number: | 8188479688 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 10/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT23273 |
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 |