Doctor Name: | BRET EDWARD MCLEOD |
NPI Number: | 1770557167 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT26835 |
Business Practice Address: | 12660 Riverside Drive #215 Valley Village, CA - 91607 |
Business Phone Number: | 8185067821 |
Business Fax Number: | 8185066722 |
Mailing Address: | 817 Omar St, GLENDALE |
State: | CA |
Postal Code: | 91202 |
Phone Number: | 8182430636 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2006 |
NPI Last Update Date: | 11/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT26835 |
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 |