Doctor Name: | MS. MAXINE ANN BALSOM-LATURNER |
NPI Number: | 1841290210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 9225 |
Business Practice Address: | 5564 Murrieta St Ventura, CA - 930034241 |
Business Phone Number: | 8058898795 |
Business Fax Number: | 8056501707 |
Mailing Address: | 5564 Murrieta St, VENTURA |
State: | CA |
Postal Code: | 930034241 |
Phone Number: | 8058898795 |
Fax Number: | 8056501707 |
NPI Enumeration Date: | 07/28/2005 |
NPI Last Update Date: | 03/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9225 |
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 |