Individual
SHEILA ANNE NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,PT, ATC, CLT
Contact information
Practice address
1045 N TUSTIN ST, ORANGE, CA 92867-5904
(714) 288-8303
(714) 744-1991
Mailing address
1045 N TUSTIN ST, ORANGE, CA 92867-5904
(714) 288-8303
(714) 744-1991
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
38494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386864262
BCBS OF AZ
AZ
01
—
208737315
TRICARE
—
01
—
2Z7238
HEALTHNET
—
Enumeration date
05/11/2006
Last updated
10/13/2012
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