Peter Theodorus Otto Van Der Heide, DPT | |
5500 Lindley Ave, Unit 121, Encino, CA 91316-1904 | |
(408) 398-1163 | |
Not Available |
Full Name | Peter Theodorus Otto Van Der Heide |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5500 Lindley Ave, Encino, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043670227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 291180 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Peter Theodorus Otto Van Der Heide, DPT 5500 Lindley Ave, Unit 121, Encino, CA 91316-1904 Ph: (408) 398-1163 | Peter Theodorus Otto Van Der Heide, DPT 5500 Lindley Ave, Unit 121, Encino, CA 91316-1904 Ph: (408) 398-1163 |
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Ms. Bonnie M. Cardenas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5359 Balboa Blvd # A, Encino, CA 91316 Phone: 818-506-7821 Fax: 818-506-6722 | |
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Mrs. Jana Ampara Ashcraft, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16550 Ventura Blvd, Suite 400, Encino, CA 91436 Phone: 818-905-1331 Fax: 818-905-8836 |