Provider Demographics
NPI:1417226838
Name:CAMHI, MYRIAM (PT)
Entity Type:Individual
Prefix:MISS
First Name:MYRIAM
Middle Name:
Last Name:CAMHI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11790 CARMEL CREEK RD APT 207
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-6610
Mailing Address - Country:US
Mailing Address - Phone:619-818-6166
Mailing Address - Fax:
Practice Address - Street 1:2355 NORTHSIDE DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-2714
Practice Address - Country:US
Practice Address - Phone:800-458-7777
Practice Address - Fax:800-863-2978
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28311225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist