Provider Demographics
NPI:1649332941
Name:DENNIES, DAVID STANLEY (PT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:STANLEY
Last Name:DENNIES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24007 VENTURA BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1458
Mailing Address - Country:US
Mailing Address - Phone:818-224-2090
Mailing Address - Fax:818-224-3255
Practice Address - Street 1:24007 VENTURA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1458
Practice Address - Country:US
Practice Address - Phone:818-224-2090
Practice Address - Fax:818-224-3255
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT10026225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA770289406OtherTIN