Doctor Name: | EDI LEVISMAN |
NPI Number: | 1548356413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT22774 |
Business Practice Address: | 9730 Wilshire Blvd. Suite 200 Beverly Hills, CA - 902122004 |
Business Phone Number: | 3102780204 |
Business Fax Number: | 3102780171 |
Mailing Address: | 9730 Wilshire Blvd. Suite 200, BEVERLY HILLS |
State: | CA |
Postal Code: | 902122004 |
Phone Number: | 3102780204 |
Fax Number: | 3102780171 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 02/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT22774 |
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 |