Provider Demographics
NPI:1891110961
Name:POINTNER, AIMEE BETH (PTA)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:BETH
Last Name:POINTNER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 VIEWCREST DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-1113
Mailing Address - Country:US
Mailing Address - Phone:805-223-1017
Mailing Address - Fax:
Practice Address - Street 1:777 VIEWCREST DR
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-1113
Practice Address - Country:US
Practice Address - Phone:805-223-1017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT 8457225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant