DG THERAPY GROUP INC

Provider Demographics

• NPI: 1043546005
• Name: DG THERAPY GROUP INC
• Entity Type: Organization
• Organization Name: DG THERAPY GROUP INC
• Authorized Official - Title/Position: OWNER
• Authorized Official - Prefix: MRS
• Authorized Official - First Name: DIANA
• Authorized Official - Middle Name: ALEXANDRA
• Authorized Official - Last Name: GUTIERREZ
• Authorized Official - Credentials: PT
• Authorized Official - Phone: 562-693-5449
• Mailing Address - Street 1: 12411 SLAUSON AVE
• Mailing Address - Street 2: UNIT H
• Mailing Address - City: WHITTIER
• Mailing Address - State: CA
• Mailing Address - Zip Code: 90606-2835
• Mailing Address - Country: US
• Mailing Address - Phone: 562-693-5449
• Mailing Address - Fax: 562-693-5469
• Practice Address - Street 1: 12411 SLAUSON AVE
• Practice Address - Street 2: UNIT H
• Practice Address - City: WHITTIER
• Practice Address - State: CA
• Practice Address - Zip Code: 90606-2835
• Practice Address - Country: US
• Practice Address - Phone: 562-693-5449
• Practice Address - Fax: 562-693-5469
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2009-10-27
• Last Update Date: 2012-05-21

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Multi-Specialty
No	224Z00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapy Assistant		Group - Multi-Specialty
No	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	2251P0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Pediatrics	Group - Multi-Specialty
No	225200000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapy Assistant		Group - Multi-Specialty
No	225XE0001X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Environmental Modification	Group - Multi-Specialty
No	225XF0002X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Feeding, Eating & Swallowing	Group - Multi-Specialty
No	225XP0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Pediatrics	Group - Multi-Specialty
No	2355S0801X	Speech, Language and Hearing Service Providers	Specialist/Technologist	Speech-Language Assistant	Group - Multi-Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Multi-Specialty