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SAN BERNARDINO COUNTY PUBLIC HEALTH NPI 1255726113


NPI Information

NPI: 1255726113
Provider Name: SAN BERNARDINO COUNTY PUBLIC HEALTH

Other Name: ETIWANDA MTU

Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
12860 BANYAN ST
ETIWANDA, CA
ZIP 91739
Phone: (909) 463-3010
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SAN BERNARDINO COUNTY PUBLIC HEALTH is a pediatrics physical therapist in Etiwanda, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. SAN BERNARDINO COUNTY PUBLIC HEALTH NPI is 1255726113. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Etiwanda Mtu.

The provider's business location address is:

12860 BANYAN ST
ETIWANDA, CA
ZIP 91739-466
Phone: (909) 463-3010

The provider's authorized official is Maxwell Ohikhuare .
The authorized official title is Public Health Officer and has the following contact phone number (909) 387-6219.

The enumeration date for this NPI number is 3/30/2015 and was last updated on 1/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224Z00000XOccupational Therapy AssistantNo
2225200000XPhysical Therapy AssistantNo
3225XP0200XOccupational TherapistPediatricsNo
42251P0200XPhysical TherapistPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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