Provider Demographics
NPI:1912556481
Name:ALLMOND, ESTHER YOUNGJOO (DPT)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:YOUNGJOO
Last Name:ALLMOND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:YOUNGJOO
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SPT
Mailing Address - Street 1:3160 MOUNT TAMI DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-4633
Mailing Address - Country:US
Mailing Address - Phone:858-229-9826
Mailing Address - Fax:
Practice Address - Street 1:3160 MOUNT TAMI DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-4633
Practice Address - Country:US
Practice Address - Phone:858-229-9826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-08
Last Update Date:2019-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT38090225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist