Heather J Dallas
Rehabilitation Practitioner in Pacoima, CA. Individual provider (NPI-1).
NPI number1689706558
StatusActive
Last updated in NPPESMay 31, 2013
Details
- NPI
- 1689706558
- Entity type
- Individual (NPI-1)
- Name
- Heather J Dallas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2007
- Last updated
- May 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
12510 Van Nuys Blvd,Pacoima, CA 91331
Phone 310-418-8857
Mailing address
2601 Pine AveManhattan Beach, CA 90266-2719
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All 60 Rehabilitation Practitioner providers in Pacoima · All 833 providers in Pacoima
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