Provider Demographics
NPI:1982062907
Name:DICKMAN, BARBARA L E (PT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L E
Last Name:DICKMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:L E
Other - Last Name:WESTLAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35120 COLT RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-8639
Mailing Address - Country:US
Mailing Address - Phone:701-721-3986
Mailing Address - Fax:
Practice Address - Street 1:29645 RANCHO CALIFORNIA RD STE 234
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5211
Practice Address - Country:US
Practice Address - Phone:951-506-3001
Practice Address - Fax:951-506-3002
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19813225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA188691Medicare PIN
CACB250823Medicare PIN
CACA188692Medicare PIN
CACA188693Medicare PIN