Provider Demographics
NPI:1780419184
Name:TORRES, DALMA ELOIZA (DPT)
Entity type:Individual
Prefix:
First Name:DALMA
Middle Name:ELOIZA
Last Name:TORRES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 E GRAND AVE UNIT F
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-4363
Mailing Address - Country:US
Mailing Address - Phone:562-412-5620
Mailing Address - Fax:
Practice Address - Street 1:11500 W OLYMPIC BLVD STE 470
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1530
Practice Address - Country:US
Practice Address - Phone:310-473-8287
Practice Address - Fax:310-477-3909
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306570225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist