Provider Demographics
NPI:1598795460
Name:PASQUINI, DARLENE DENICE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:DENICE
Last Name:PASQUINI
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 DEAN ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-3209
Mailing Address - Country:US
Mailing Address - Phone:707-443-8354
Mailing Address - Fax:707-443-8628
Practice Address - Street 1:1585 HEARTWOOD DR STE 95519
Practice Address - Street 2:
Practice Address - City:MCKINLEYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95519-3991
Practice Address - Country:US
Practice Address - Phone:707-839-1802
Practice Address - Fax:707-839-3507
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 21596174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT215961Medicare ID - Type Unspecified