Provider Demographics
NPI:1871774711
Name:PIMENTEL, MARIE TONI RACHELLE (PT)
Entity type:Individual
Prefix:MS
First Name:MARIE TONI
Middle Name:RACHELLE
Last Name:PIMENTEL
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:9675 BRIGHTON WAY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5180
Mailing Address - Country:US
Mailing Address - Phone:310-278-5337
Mailing Address - Fax:310-278-6204
Practice Address - Street 1:9675 BRIGHTON WAY
Practice Address - Street 2:SUITE 250
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5180
Practice Address - Country:US
Practice Address - Phone:310-278-5337
Practice Address - Fax:310-278-6204
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT34062225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist