Individual
HADJI ALEJANDRO DEDACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1624 W OLIVE AVE STE E, BURBANK, CA 91506-2459
(818) 846-1441
(818) 846-1419
Mailing address
1624 W. OLIVE SUITE E, BURBANK, CA 91506
(818) 846-1441
(818) 846-1419
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT32175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 32175
PHYSICAL THERAPY
CA
Enumeration date
10/10/2006
Last updated
07/08/2007
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