Individual
SHEILA MARIE FLORES DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14847 W CASTILLE WAY, SYLMAR, CA 91342-7722
(818) 915-4727
Mailing address
14847 W CASTILLE WAY, SYLMAR, CA 91342-7722
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004537
KAISER
CA
Enumeration date
05/25/2021
Last updated
05/25/2021
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