Provider Demographics
NPI:1255880225
Name:O'NEIL, CYNTHIA (PT, DPT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:GLASER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:400 S BEVERLY DR STE 360
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4405
Mailing Address - Country:US
Mailing Address - Phone:909-992-9820
Mailing Address - Fax:
Practice Address - Street 1:400 S BEVERLY DR STE 360
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4405
Practice Address - Country:US
Practice Address - Phone:310-231-5279
Practice Address - Fax:323-417-4848
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-30
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT291852225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist