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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194794032 | NPPES |
| California | Other | OPT301870 | BLUE SHIELD IDENTIFIER |
| California | Other | ZZZ082282 | BLUE SHIELD IDENTIFIER |
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