Provider Demographics
NPI:1558768077
Name:AUBERT, SHERINE RACHEL (DPT)
Entity Type:Individual
Prefix:
First Name:SHERINE
Middle Name:RACHEL
Last Name:AUBERT
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 1:1940 MARBER AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3110
Mailing Address - Country:US
Mailing Address - Phone:650-520-6515
Mailing Address - Fax:
Practice Address - Street 1:141 W WILSHIRE AVE
Practice Address - Street 2:C
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-1858
Practice Address - Country:US
Practice Address - Phone:714-446-9924
Practice Address - Fax:714-446-9943
Is Sole Proprietor?:No
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT41958225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT41958OtherSTATE LICENSE NUMBER