Basic Information
| Provider Information | |||||||||
| NPI: | 1477191930 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SINGSON | ||||||||
| FirstName: | JILLIAN CATHRYN | ||||||||
| MiddleName: | FIRME | ||||||||
| NamePrefix: | |||||||||
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| Credential: | PT, DPT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SINGSON SANTILLAN | ||||||||
| OtherFirstName: | JILLIAN CATHRYN | ||||||||
| OtherMiddleName: | |||||||||
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| OtherCredential: | PT, DPT | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 8246 HILLROSE ST | ||||||||
| Address2: | |||||||||
| City: | SUNLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 910402404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8477383402 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2001 W ALAMEDA AVE | ||||||||
| Address2: | |||||||||
| City: | BURBANK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 915062932 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8189534444 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2019 | ||||||||
| LastUpdateDate: | 12/16/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/16/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT297568 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.