Provider Demographics
NPI:1326459223
Name:RYPNINA, IRINA (MPT)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:RYPNINA
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24051 NEWHALL RANCH RD
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5702
Mailing Address - Country:US
Mailing Address - Phone:661-254-6364
Mailing Address - Fax:661-254-6787
Practice Address - Street 1:24051 NEWHALL RANCH RD
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5707
Practice Address - Country:US
Practice Address - Phone:661-254-6364
Practice Address - Fax:661-254-6787
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 36917225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist