Healthcare Provider Details

I. General information

NPI: 1316540594
Provider Name (Legal Business Name): NATALY OCHOA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

957 FAULKNER RD STE 105
SANTA PAULA CA
93060-9129
US

IV. Provider business mailing address

910 E ALOSTA AVE
AZUSA CA
91702-2709
US

V. Phone/Fax

Practice location:
  • Phone: 805-749-2273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number299420
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number299420
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: