Provider Demographics
NPI:1376026773
Name:MYERS, NAOMI A (PT,DPT)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:A
Last Name:MYERS
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:MISS
Other - First Name:NAOMI
Other - Middle Name:A
Other - Last Name:VAN SETTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:846 W FOOTHILL BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3784
Mailing Address - Country:US
Mailing Address - Phone:909-985-8686
Mailing Address - Fax:909-985-9706
Practice Address - Street 1:846 W FOOTHILL BLVD STE C
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3784
Practice Address - Country:US
Practice Address - Phone:909-985-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA295552225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist