Provider Demographics
NPI:1265758098
Name:FERREIRA-DAVID, MARIA DO CARMO (APT)
Entity type:Individual
Prefix:MISS
First Name:MARIA DO CARMO
Middle Name:
Last Name:FERREIRA-DAVID
Suffix:
Gender:F
Credentials:APT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 S BEVERLY DR STE 515
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1183
Mailing Address - Country:US
Mailing Address - Phone:310-277-8882
Mailing Address - Fax:310-277-8935
Practice Address - Street 1:1125 S BEVERLY DR STE 515
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1183
Practice Address - Country:US
Practice Address - Phone:310-277-8882
Practice Address - Fax:310-277-8935
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT3714225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant