Dianne Khebreh, PTA

NPI #1225060700 in El Segundo, California

Provider Information

NPI Number: 1225060700
Entity Type: Individual
Name: Dianne Khebreh, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2250 PARK PL
City: El Segundo
State: California
ZIP Code: 90245-4908
Phone: (310) 643-9016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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