Provider Demographics
NPI:1194748087
Name:PLUTA, NATALY TARYN (PT)
Entity type:Individual
Prefix:MS
First Name:NATALY
Middle Name:TARYN
Last Name:PLUTA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:NATALY
Other - Middle Name:
Other - Last Name:FORRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:312 S CEDROS AVE
Mailing Address - Street 2:206
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1979
Mailing Address - Country:US
Mailing Address - Phone:619-787-2729
Mailing Address - Fax:858-350-1017
Practice Address - Street 1:312 S CEDROS AVE
Practice Address - Street 2:#206
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1979
Practice Address - Country:US
Practice Address - Phone:619-787-2729
Practice Address - Fax:858-350-1017
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT15109225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist