Provider Demographics
NPI:1811204662
Name:AKRY, DOREEN (DPT)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:
Last Name:AKRY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:16260 VENTURA BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2203
Mailing Address - Country:US
Mailing Address - Phone:818-986-1977
Mailing Address - Fax:818-986-4757
Practice Address - Street 1:4940 VAN NUYS BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1700
Practice Address - Country:US
Practice Address - Phone:818-990-9050
Practice Address - Fax:818-990-9449
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2011-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA36911225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABW936AMedicare PIN