Organization Name: | STEPHANIE DILLINER PHYSICAL THERAPIST INC |
NPI Number: | 1720200348 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE ANN DILLINER (PRESIDENT) |
Mailing Address: | 4794 Circle Hill Dr Valley Springs |
State: | CA US |
Postal Code: | 952528769 |
Phone Number: | 8668555987 |
Fax Number: | 8669072695 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |