Crikos, Donna Louise

Crikos, Donna Louise is an individual health care provider with primary practice located at 121 Boatyard Dr Ste A, Fort Bragg CA 95437-5751. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Crikos, Donna Louise can be contacted via phone (707) 964-1208.

Contact Information

Primary practice address
121 Boatyard Dr Ste A Fort Bragg CA 95437-5751
Phone: (707) 964-1208
Fax: (707) 964-2269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT11908 California

Profile Details

NPI number 1891799797
LBN Legal business name Crikos, Donna Louise
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Oct 22nd, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891799797 NPPES
California MEDICAID PT0119080

Popular Providers