Doctor Name: | MS. AMABELLA ELSA AYERDI LUCAS |
NPI Number: | 1851780902 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 8939 |
Business Practice Address: | 11404 S. Budlong Ave., Apt.. 9 Gardena, CA - 902479999 |
Business Phone Number: | 3105256909 |
Business Fax Number: | 3108198810 |
Mailing Address: | 14404 S Budlong Ave, Apt. 9 GARDENA |
State: | CA |
Postal Code: | 902472519 |
Phone Number: | 3105256909 |
Fax Number: | 3108198810 |
NPI Enumeration Date: | 01/13/2015 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8939 |
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 |