Provider Demographics
NPI:1235554452
Name:STRINGHAM, VANESSA (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:
Last Name:STRINGHAM
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-3622
Mailing Address - Country:US
Mailing Address - Phone:760-724-0831
Mailing Address - Fax:
Practice Address - Street 1:215 W CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-3622
Practice Address - Country:US
Practice Address - Phone:760-724-0831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40829225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist