Eliane George Nasrawi, PT
Individual provider Active NPI Physical Therapist · Alta Loma, CA
NPI 1770069809 · NPPES record last updated Jul 12, 2018
Key facts
- NPI
- 1770069809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 35970 (CA)
- Practice address
- 11000 Seven Pines Dr
Alta Loma, CA 91737-7804 - Phone
- (909) 560-9437
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35970 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 35970 | CA | Yes |
Addresses
Primary practice location
11000 Seven Pines Dr
Alta Loma, CA 91737-7804
Mailing address
11000 Seven Pines Dr
Alta Loma, CA 91737-7804
Phone (909) 560-9437
Other providers in Alta Loma, CA
- Monarch Homecare Services, Inc
- Ashley Montgomery
- Junko Uehara Moran
- Sufia Nabi
- Carl Naehu
- Christina Navarro-Cabero
- Alfonso Navarro
- Tuan D Nguyen
- Sylvia Roxanne Nicholson
- Emily Nielsen
All providers in Alta Loma, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.