Provider Demographics
NPI:1871521161
Name:KRAMER, AMY LEE (PT, DPT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LEE
Last Name:KRAMER
Suffix:
Gender:F
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 1:3001 AGNES RD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-2367
Mailing Address - Country:US
Mailing Address - Phone:310-546-9812
Mailing Address - Fax:310-546-6740
Practice Address - Street 1:3001 AGNES RD
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-2367
Practice Address - Country:US
Practice Address - Phone:310-546-9812
Practice Address - Fax:310-546-6740
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 25187225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist