Provider Demographics
NPI:1437743762
Name:PACADA, AIMEE (PT, DPT, CCI, CFPS)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:
Last Name:PACADA
Suffix:
Gender:F
Credentials:PT, DPT, CCI, CFPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-6756
Mailing Address - Country:US
Mailing Address - Phone:805-486-8611
Mailing Address - Fax:805-486-3070
Practice Address - Street 1:941 W 7TH ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-6756
Practice Address - Country:US
Practice Address - Phone:805-486-8611
Practice Address - Fax:805-486-3070
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-26
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA292103225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist