| Doctor Name: | DIANE POLADIAN |
| NPI Number: | 1649251950 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT8542 |
| Business Practice Address: | 10725 Zelzah Ave Ste B Granada Hills, CA - 913444431 |
| Business Phone Number: | 8188328383 |
| Business Fax Number: | 8188320606 |
| Mailing Address: | 19510 Ventura Blvd, Ste 106 TARZANA |
| State: | CA |
| Postal Code: | 913562969 |
| Phone Number: | 8189961725 |
| Fax Number: | 8189960210 |
| NPI Enumeration Date: | 11/14/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT8542 |
| 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 |