Doctor Name: | MARGARET LINDEKEN MUTIO |
NPI Number: | 1871644286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT CHT |
License Number: | 10455 |
Business Practice Address: | 320 Lennon Ln Shasta Building Walnut Creek, CA - 945982419 |
Business Phone Number: | 9259062247 |
Business Fax Number: | 9259062255 |
Mailing Address: | 1604 Countrywood Ct, WALNUT CREEK |
State: | CA |
Postal Code: | 945981010 |
Phone Number: | 9259396001 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10455 |
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 |