Doctor Name: | MR. DARRELL JON SCHOLTE |
NPI Number: | 1215156930 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CTRS |
License Number: | |
Business Practice Address: | 7621 Canoga Ave Canoga Park, CA - 913044912 |
Business Phone Number: | 8185986973 |
Business Fax Number: | 8187199152 |
Mailing Address: | 4630 Woodley Ave Unit 104, ENCINO |
State: | CA |
Postal Code: | 914362701 |
Phone Number: | 8185986973 |
Fax Number: | 8187199152 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
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. |