Individual
DIANNE KHEBREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2250 PARK PL, EL SEGUNDO, CA 90245-4908
(310) 643-9016
Mailing address
1436 12TH ST APT E, MANHATTAN BEACH, CA 90266-6156
(310) 643-9016
(310) 536-0177
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1827
CA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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