Provider Demographics
NPI:1548556483
Name:WILSCHINSKY, TAFLYN (DPT)
Entity Type:Individual
Prefix:
First Name:TAFLYN
Middle Name:
Last Name:WILSCHINSKY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 SOQUEL AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2097
Mailing Address - Country:US
Mailing Address - Phone:831-464-8200
Mailing Address - Fax:
Practice Address - Street 1:9000 SOQUEL AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2097
Practice Address - Country:US
Practice Address - Phone:831-464-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 37864225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist