Provider Demographics
NPI:1841240447
Name:RIMMER, SVETLANA (P T)
Entity Type:Individual
Prefix:MRS
First Name:SVETLANA
Middle Name:
Last Name:RIMMER
Suffix:
Gender:F
Credentials:P T
Other - Prefix:MISS
Other - First Name:SVETLANA
Other - Middle Name:
Other - Last Name:KAGAN
Other - Suffix:
Other - Last Name Type:Former Name
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:91355-5707
Mailing Address - Country:US
Mailing Address - Phone:661-290-5444
Mailing Address - Fax:661-290-5443
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:661-290-5444
Practice Address - Fax:661-290-5443
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-011877225100000X
CA413362251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist