| Doctor Name: | AMANDA VAN DYK |
| NPI Number: | 1487674503 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 43234 |
| Business Practice Address: | 9665 Wilshire Blvd Ste 450 Beverly Hills, CA - 902122446 |
| Business Phone Number: | 3102478414 |
| Business Fax Number: | 3129771709 |
| Mailing Address: | 4148 1/2 Charles Ave, CULVER CITY |
| State: | CA |
| Postal Code: | 902324009 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 05/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 43234 |
| 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 |