Doctor Name: | AMANDA WITKO |
NPI Number: | 1902199656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | 36886 |
Business Practice Address: | 3855 Avocado Blvd #140 La Mesa, CA - 919417382 |
Business Phone Number: | 6196607916 |
Business Fax Number: | |
Mailing Address: | 1115 Madison Ave, SAN DIEGO |
State: | CA |
Postal Code: | 921161030 |
Phone Number: | 8584721750 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2011 |
NPI Last Update Date: | 06/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 36886 |
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 |