Individual
MR. DARRELL JON SCHOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
7621 CANOGA AVE, CANOGA PARK, CA 91304-4912
(818) 598-6973
(818) 719-9152
Mailing address
4630 WOODLEY AVE UNIT 104, ENCINO, CA 91436-2701
(818) 598-6973
(818) 719-9152
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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