Doctor Name: | JONI ANDERSON |
NPI Number: | 1669694519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT12356 |
Business Practice Address: | 202 Providence Mine Rd Suite 206 Nevada City, CA - 959592947 |
Business Phone Number: | 5302658100 |
Business Fax Number: | 5302658112 |
Mailing Address: | 12239 Madrona Way, NEVADA CITY |
State: | CA |
Postal Code: | 959593506 |
Phone Number: | 5304770868 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT12356 |
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 |