Yvonne Lewald
Individual provider Active NPI Physical Therapist · Cool, CA
NPI 1962073114 · NPPES record last updated Jul 8, 2021
Key facts
- NPI
- 1962073114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2242 (CA)
- Practice address
- 2679 Brown Bear CT
Cool, CA 95614-2413 - Phone
- (530) 320-4932
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2242 | CA | Yes |
Addresses
Primary practice location
2679 Brown Bear CT
Cool, CA 95614-2413
Mailing address
2679 Brown Bear CT
Cool, CA 95614-2413
Other providers in Cool, CA
- Janie L Evans
- Rikard C Forsberg
- Cindy Slotterback Gaffney
- James Clayton Kreutz
- Kara Lese Kreutz
- Ardelle Lucille Libby
- Franklin Dale Lieberman
- Pamela Joy Maggiacomo
- Beverly Mikuriya
- Thomas Riggio
All providers in Cool, 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 8, 2021. 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.