Doctor Name: | MS. LIZA IGLESIAS |
NPI Number: | 1043334006 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 8019 Compton Ave Los Angeles, CA - 900013409 |
Business Phone Number: | 3235867333 |
Business Fax Number: | 3233191998 |
Mailing Address: | 4334 Matilija Ave, Apartment #108 SHERMAN OAKS |
State: | CA |
Postal Code: | 914233660 |
Phone Number: | 8182592755 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |