Doctor Name: | VANESSA THIEMANN |
NPI Number: | 1902266562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 6801 Coldwater Canyon Ave North Hollywood, CA - 916055162 |
Business Phone Number: | 8187388786 |
Business Fax Number: | |
Mailing Address: | 405 South Beachwood Drive, BURBANK |
State: | CA |
Postal Code: | 91506 |
Phone Number: | 8182073071 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2016 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |