Provider Demographics
NPI:1841211257
Name:NEWMAN, VINCENT HELLMUT (PT, ATRIC)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:HELLMUT
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:PT, ATRIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 APPLEBY ST
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-2814
Mailing Address - Country:US
Mailing Address - Phone:310-399-7522
Mailing Address - Fax:310-664-6036
Practice Address - Street 1:8015 S SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:CA
Practice Address - Zip Code:90045-2940
Practice Address - Country:US
Practice Address - Phone:310-399-7522
Practice Address - Fax:310-664-6036
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT11493225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist