Provider Demographics
NPI:1629234414
Name:STROPLE, RISHA AMIN (DPT)
Entity Type:Individual
Prefix:
First Name:RISHA
Middle Name:AMIN
Last Name:STROPLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:RISHA
Other - Middle Name:
Other - Last Name:AMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:19582 BEACH BLVD
Mailing Address - Street 2:130
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-2996
Mailing Address - Country:US
Mailing Address - Phone:714-841-6162
Mailing Address - Fax:714-841-9912
Practice Address - Street 1:19582 BEACH BLVD
Practice Address - Street 2:130
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2996
Practice Address - Country:US
Practice Address - Phone:714-841-6162
Practice Address - Fax:714-841-9912
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34753225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA34753OtherPHYSICAL THERAPY LICENCE