Doctor Name: | CHANEL IRENE MARIE EBERT |
NPI Number: | 1922449255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 2617 |
Business Practice Address: | 2492 Walnut Avenue, #140 Tustin, CA - 927806953 |
Business Phone Number: | 7145442188 |
Business Fax Number: | 7145442189 |
Mailing Address: | 2492 Walnut Avenue, #140, TUSTIN |
State: | CA |
Postal Code: | 927806953 |
Phone Number: | 7145442188 |
Fax Number: | 7145442189 |
NPI Enumeration Date: | 07/15/2013 |
NPI Last Update Date: | 04/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2617 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
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 |