Doctor Name: | KINDRA NICOLE BERUMEN DE DIOS |
NPI Number: | 1699010777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 39697 |
Business Practice Address: | 12411 Slauson Ave Unit H Whittier, CA - 906062835 |
Business Phone Number: | 5626935449 |
Business Fax Number: | |
Mailing Address: | 1325 N Placentia Ave, #16 FULLERTON |
State: | CA |
Postal Code: | 928312530 |
Phone Number: | 6619928012 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2012 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 39697 |
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 |