Duer, Revital

Duer, Revital is an individual health care provider with primary practice located at 3366 E Thousand Oaks Blvd , Thousand Oaks CA 91362-3443. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Duer, Revital can be contacted via phone (805) 374-9900.

Contact Information

Primary practice address
3366 E Thousand Oaks Blvd Thousand Oaks CA 91362-3443
Phone: (805) 374-9900
Fax: (805) 374-9910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT30187 California

Profile Details

NPI number 1194794032
LBN Legal business name Duer, Revital
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194794032 NPPES
California Other OPT301870 BLUE SHIELD IDENTIFIER
California Other ZZZ082282 BLUE SHIELD IDENTIFIER

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