Provider Demographics
NPI:1871391763
Name:TAFUR, GIOVANNA (PT, DPT)
Entity type:Individual
Prefix:
First Name:GIOVANNA
Middle Name:
Last Name:TAFUR
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 S ESCONDIDO BLVD UNIT 312
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-7078
Mailing Address - Country:US
Mailing Address - Phone:925-270-5755
Mailing Address - Fax:
Practice Address - Street 1:3257 CAMINO DE LOS COCHES STE 301
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-8974
Practice Address - Country:US
Practice Address - Phone:760-652-5236
Practice Address - Fax:760-652-5134
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA307657225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist