Gonzalez, Kristin Detwiler
Gonzalez, Kristin Detwiler is an individual health care provider with primary practice located at 23430 Hawthorne Blvd Bldg 3 Suite 105, Torrance CA 90505-4720. 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. Gonzalez, Kristin Detwiler can be contacted via phone (310) 465-2455.Contact Information
Primary practice address
23430 Hawthorne Blvd Bldg 3 Suite 105
Torrance CA 90505-4720
Phone: (310) 465-2455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 25600 | California |
Profile Details
| NPI number | 1598725608 |
|---|---|
| LBN Legal business name | Gonzalez, Kristin Detwiler |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Mar 26th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598725608 | NPPES |
| California | Other | 225100000X | PHYSICAL THERAPY |
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