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Shining Star Children's Therapy, Inc
Pediatric Physical Therapist in Pollock Pines, California
NPI 1265850663

Shining Star Children's Therapy, Inc is a Pediatric Physical Therapist based in Reno, CA and is specialized in Pediatrics. Shining Star Children's Therapy, Inc practices in Pollock Pines, CA. The NPI Number for Shining Star Children's Therapy, Inc is 1265850663 and holds a License No. 20271 (California).

The current practice location address for Shining Star Children's Therapy, Inc is 4287 Sly Park Rd, Pollock Pines, CA and can be reached out via phone at 866-306-3469 and via fax at 866-615-6143.

Location: 4287 Sly Park Rd, Pollock Pines, CA, 89533-4120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265850663
Provider Name
Shining Star Children's Therapy, Inc
Credential
Provider Entity Type
Organization
Address
4287 Sly Park Rd, Pollock Pines, CA, 89533-4120
Phone Number
866-306-3469
Fax Number
866-615-6143
Provider Enumeration Date
04/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20271 01 CA PT LICENSE
institution
Provider Business Practice Location Address Details
Address
4287 Sly Park Rd
City
Pollock Pines
State
California
Zip
95726-9007
Phone Number
866-306-3469
Fax Number
866-615-6143
person
Provider Business Mailing Address Details
Address
4287 Sly Park Rd
City
Pollock Pines
State
California
Zip
95726-9007
Phone Number
866-306-3469
Fax Number
866-615-6143
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
20271 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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