Doctor Name: | MRS. JULIE BACLENE |
NPI Number: | 1841488715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 16162 |
Business Practice Address: | 805 Aerovista Pl #201 San Luis Obispo, CA - 934017919 |
Business Phone Number: | 8057880805 |
Business Fax Number: | |
Mailing Address: | 1067 C St, #110 GALT |
State: | CA |
Postal Code: | 956321757 |
Phone Number: | 2097455802 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2007 |
NPI Last Update Date: | 02/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 16162 |
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 |