Provider Demographics
NPI:1740956630
Name:MILLER, OFEK (DPT)
Entity type:Individual
Prefix:
First Name:OFEK
Middle Name:
Last Name:MILLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:19566 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2917
Mailing Address - Country:US
Mailing Address - Phone:818-445-0280
Mailing Address - Fax:
Practice Address - Street 1:16573 VENTURA BLVD STE 8
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2024
Practice Address - Country:US
Practice Address - Phone:818-986-7266
Practice Address - Fax:818-907-3890
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT3006722251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic