Doctor Name: | JILL N KLENOV |
NPI Number: | 1780087544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 16086 |
Business Practice Address: | 11781 Davenport Rd Los Alamitos, CA - 907204308 |
Business Phone Number: | 5627950345 |
Business Fax Number: | |
Mailing Address: | 11781 Davenport Rd, LOS ALAMITOS |
State: | CA |
Postal Code: | 907204308 |
Phone Number: | 5627950345 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2014 |
NPI Last Update Date: | 10/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 16086 |
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 |