Provider Demographics
NPI:1942455829
Name:HRONEK, TERRI LYN
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:LYN
Last Name:HRONEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:LYN
Other - Last Name:SCHULTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13939 VANOWEN ST APT 12
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4193
Mailing Address - Country:US
Mailing Address - Phone:818-624-2482
Mailing Address - Fax:818-781-3822
Practice Address - Street 1:14411 VANOWEN ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4038
Practice Address - Country:US
Practice Address - Phone:818-989-7475
Practice Address - Fax:818-781-3822
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner