Healthcare Provider Details

I. General information

NPI: 1265758098
Provider Name (Legal Business Name): MARIA DO CARMO FERREIRA-DAVID A.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2010
Last Update Date: 04/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 S BEVERLY DR STE 515
LOS ANGELES CA
90035-1183
US

IV. Provider business mailing address

1125 S BEVERLY DR STE 515
LOS ANGELES CA
90035-1183
US

V. Phone/Fax

Practice location:
  • Phone: 310-277-8882
  • Fax: 310-277-8935
Mailing address:
  • Phone: 310-277-8882
  • Fax: 310-277-8935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberAT3714
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: