Provider Demographics
NPI:1225363542
Name:POMPANESCU, DUANE EDWARD (OTR)
Entity Type:Individual
Prefix:MR
First Name:DUANE
Middle Name:EDWARD
Last Name:POMPANESCU
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 SKYRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-1201
Mailing Address - Country:US
Mailing Address - Phone:619-675-4200
Mailing Address - Fax:619-675-4200
Practice Address - Street 1:259 SKYRIDGE LN
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-1201
Practice Address - Country:US
Practice Address - Phone:619-675-4200
Practice Address - Fax:619-675-4200
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3017225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation