Doctor Name: | MS. GILLIAN M PENDLETON |
NPI Number: | 1639316631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T |
License Number: | 2969 |
Business Practice Address: | 100 Pleasant Hill Ave N Sebastopol, CA - 954723104 |
Business Phone Number: | 7078293282 |
Business Fax Number: | 7078293287 |
Mailing Address: | 1400 North Dutton Ave, Suite 1 SANTA ROSA |
State: | CA |
Postal Code: | 954017120 |
Phone Number: | 7075232848 |
Fax Number: | 7075232866 |
NPI Enumeration Date: | 01/13/2009 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2969 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
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 |