Provider Demographics
NPI:1881800324
Name:DILGER, NANCY J (MA, PT, PCS, CKTP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:J
Last Name:DILGER
Suffix:
Gender:F
Credentials:MA, PT, PCS, CKTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1334 WESTWOOD BOULEVARD
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:LA
Mailing Address - State:CA
Mailing Address - Zip Code:90024
Mailing Address - Country:US
Mailing Address - Phone:310-475-7880
Mailing Address - Fax:310-474-7401
Practice Address - Street 1:1334 WESTWOOD BLVD
Practice Address - Street 2:SUITE 2B
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4951
Practice Address - Country:US
Practice Address - Phone:310-475-7880
Practice Address - Fax:310-474-7401
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAP.T. 14662174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist