Individual
DEANNA VON IBSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11105 KNOTT AVE, SUITE A, CYPRESS, CA 90630-5137
(714) 893-7399
Mailing address
11105 KNOTT AVE, SUITE A, CYPRESS, CA 90630-5137
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 35295
CA
Other
Enumeration date
05/21/2009
Last updated
01/06/2010
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