Provider Demographics
NPI:1871894725
Name:TABATZKY, AMIEE REBECCA (LAC)
Entity type:Individual
Prefix:MS
First Name:AMIEE
Middle Name:REBECCA
Last Name:TABATZKY
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Gender:F
Credentials:LAC
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Mailing Address - Street 1:4838 MANSFIELD ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-1978
Mailing Address - Country:US
Mailing Address - Phone:619-993-0663
Mailing Address - Fax:619-269-3815
Practice Address - Street 1:5670 EL CAMINO REAL
Practice Address - Street 2:STE F
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7125
Practice Address - Country:US
Practice Address - Phone:760-602-0262
Practice Address - Fax:619-269-3815
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
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Provider Licenses
StateLicense IDTaxonomies
CAAC129072081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine