Individual provider · Type 1 NPI
Debra Hedberg
Pediatric Physical Therapist · Los Angeles, CA
Practice location
8939 S Sepulveda Blvd
Los Angeles, CA 90045-3631
Mailing address
2200 Colorado Ave Apt 436
Santa Monica, CA 90404-5530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 1299216 (TX) |
| Pediatric Physical Therapist Primary | 2251P0200X | 295596 (CA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1467955039
Debra Hedberg's National Provider Identifier is 1467955039, issued on Mar 9, 2018. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 5, 2021.