Plonka, Derek Anthony
Plonka, Derek Anthony is an sole proprietor health care provider with primary practice located at 1821 Wilshire Blvd. Suite 605, Santa Monica CA 90403. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Other Service Providers / Acupuncturist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Plonka, Derek Anthony can be contacted via phone (310) 453-8668.Contact Information
Primary practice address
1821 Wilshire Blvd. Suite 605
Santa Monica CA 90403
Phone: (310) 453-8668
Fax: (310) 453-8662
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 02322 | Rhode Island |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT25134 | California |
Other Service Providers / Acupuncturist | 171100000X | 16420 | California |
Profile Details
NPI number | 1912172438 |
---|---|
LBN Legal business name | Plonka, Derek Anthony |
Credentials | DPT, MTOM |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 25th, 2008 |
Last updated | Apr 25th, 2019 - about 6 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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