Doctor Name: | JACQUELINE CABALKA |
NPI Number: | 1891702668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 20625 |
Business Practice Address: | 1545 Higuera St San Luis Obispo, CA - 934012917 |
Business Phone Number: | 8055435633 |
Business Fax Number: | 8055435990 |
Mailing Address: | 414 Parkview N, SANTA MARIA |
State: | CA |
Postal Code: | 934553847 |
Phone Number: | 8057104158 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 07/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 20625 |
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 |