Provider Demographics
NPI:1326242389
Name:GERIANN WARNKE PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:GERIANN WARNKE PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GERIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARNKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:619-889-6552
Mailing Address - Street 1:PO BOX 1091
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92038-1091
Mailing Address - Country:US
Mailing Address - Phone:619-889-6552
Mailing Address - Fax:858-459-0370
Practice Address - Street 1:6390 CARDENO DR
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-6928
Practice Address - Country:US
Practice Address - Phone:619-889-6552
Practice Address - Fax:858-459-0370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65412251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty