MEDICARE: TERRI BECHTEL GREENBERG DPT, PT, OCS, MTC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT10307	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ60692Z	OTHER	CA	BLUE SHIELD ID

General Provider Information

NPI Number	:	1417029745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRI BECHTEL GREENBERG DPT, PT, OCS, MTC

Provider Business Mailing Address
First Line	:	13540 VENTURA BLVD
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-3826
Country	:	US
Telephone Number	:	818-990-0267
Fax Number	:	818-990-0261

Provider Business Practice Location Address
First Line	:	13540 VENTURA BLVD
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-3826
Country	:	US
Telephone Number	:	818-990-0267
Fax Number	:	818-990-0261

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	07/17/2007

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Directions to “ TERRI BECHTEL GREENBERG DPT, PT, OCS, MTC” Practice Location

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