Provider Demographics
NPI:1508840455
Name:MUNOZ, PAULINA VERONICA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:VERONICA
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9862 OAKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-5633
Mailing Address - Country:US
Mailing Address - Phone:818-943-3363
Mailing Address - Fax:818-701-1655
Practice Address - Street 1:9862 OAKDALE AVE
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-5633
Practice Address - Country:US
Practice Address - Phone:818-943-3363
Practice Address - Fax:818-701-1655
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA27691225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist