Provider Demographics
NPI:1821072778
Name:KERNS, CLAUDIA YOLANDE (PT CIIM)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:YOLANDE
Last Name:KERNS
Suffix:
Gender:F
Credentials:PT CIIM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:11481 SW HALL BV STE 201
Mailing Address - Street 2:THERAPEUTIC ASSOCIATES INC
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8403
Mailing Address - Country:US
Mailing Address - Phone:800-219-8835
Mailing Address - Fax:503-443-1402
Practice Address - Street 1:16260 VENTURA BLVD SUITE 309
Practice Address - Street 2:TAI PEDIATRIC PHYSICAL THERAPY
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2276
Practice Address - Country:US
Practice Address - Phone:818-783-4071
Practice Address - Fax:818-783-4081
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA12360225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist