Wanda Jk Crook is a Neurology in San Diego, California. Wanda Jk Crook practices all healthcare services and medical treatments related to Neurology. The NPI Number for Wanda Jk Crook is 1720287568. The last update date is 2014-06-13.
Wanda Jk Crook's current location address is 16870 W Bernardo Dr, San Diego, California. You can contact this provider via phone number 7603152599 and fax number 7608882499. The mailing address for Wanda Jk Crook is 16870 W Bernardo Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Wanda Jk Crook |
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Address | 16870 W Bernardo Dr, San Diego, California |
Phone Number | 7603152599 |
Fax Number | 7608882499 |
Sole Proprietor | Y |
Credentials | PT |
NPI Number Detail
NPI Number | 1720287568 |
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Provider Enumeration Date | 2007-07-12 |
Last Updated Date | 2014-06-13 |
Provider Mailing Address Detail
Address | 16870 W Bernardo Dr |
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City | San Diego |
State | California (CA) |
Post Code | 921271677 |
Phone Number | 7603152599 |
Fax Number | 7608882499 |
Provider's Primary Taxonomy Detail
Speciality | Neurology |
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Taxonomy | 2251N0400X |
Licence No | 14598 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledg |
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What is the unique identification code assigned to Wanda Jk Crook by the Centers for Medicare & Medicaid Services?
The Wanda Jk Crook has been issued the NPI (National Provider Identifier) 1720287568. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Wanda Jk Crook?
The Wanda Jk Crook is physically situated at 16870 W Bernardo Dr, in the city of San Diego, state of CA, with the postal code 921271677.
What is Wanda Jk Crook's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wanda Jk Crook is Neurology, and the corresponding taxonomy classification code for this specialized field is 2251N0400X.
On what date did the Wanda Jk Crook receive the assignment of its 1720287568 from the Centers for Medicare & Medicaid Services?
The Wanda Jk Crook was issued its 1720287568 by the Centers for Medicare & Medicaid Services on 2007-07-12.
When was the information pertaining to Wanda Jk Crook most recently updated or revised?
The details related to Wanda Jk Crook, including its address, specialty, and other relevant information, were last updated or revised on 2014-06-13.