Doctor Name: | RANAE HAUSE |
NPI Number: | 1841253721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT28039 |
Business Practice Address: | 4130 La Jolla Village Dr Suite 300 La Jolla, CA - 920379121 |
Business Phone Number: | 8584507118 |
Business Fax Number: | 8584507119 |
Mailing Address: | 3444 Kearny Villa Rd, Suite 200 SAN DIEGO |
State: | CA |
Postal Code: | 921231959 |
Phone Number: | 8882088526 |
Fax Number: | 8587510901 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 12/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT28039 |
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 |