Doctor Name: | EMILY DIEBOLD |
NPI Number: | 1073987251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 43416 |
Business Practice Address: | 16430 Ventura Blvd Suite 108 Encino, CA - 914362115 |
Business Phone Number: | 8187882544 |
Business Fax Number: | 8187882610 |
Mailing Address: | 16430 Ventura Blvd, Suite 108 ENCINO |
State: | CA |
Postal Code: | 914362115 |
Phone Number: | 8187882544 |
Fax Number: | 8187882610 |
NPI Enumeration Date: | 11/25/2015 |
NPI Last Update Date: | 11/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 43416 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |