Doctor Name: | MR. ALLAN P. DIZON |
NPI Number: | 1023146461 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT23875 |
Business Practice Address: | 1950 S Mountain Ave Ontario, CA - 917626723 |
Business Phone Number: | 9094676183 |
Business Fax Number: | 9099835814 |
Mailing Address: | 2661 Olympic View Dr, CHINO HILLS |
State: | CA |
Postal Code: | 917091306 |
Phone Number: | 9096368394 |
Fax Number: | 9096368394 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 02/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT23875 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |