Doctor Name: | PAUL JAMES DIMEGLIO |
NPI Number: | 1013054584 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OTR/L, HTC |
License Number: | OT 6025 |
Business Practice Address: | 29645 Rancho California Rd Ste. 234 Temecula, CA - 925916200 |
Business Phone Number: | 9515063001 |
Business Fax Number: | 9515063002 |
Mailing Address: | 29645 Rancho California Rd, Ste. 234 TEMECULA |
State: | CA |
Postal Code: | 925916200 |
Phone Number: | 9515063001 |
Fax Number: | 9515063002 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 03/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OT 6025 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |