MEDICARE: MS. NANCY J DILGER MA, PT, PCS, CKTP

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	174400000X	Specialist	P.T. 14662	CA

General Provider Information

NPI Number	:	1881800324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY J DILGER MA, PT, PCS, CKTP

Provider Business Mailing Address
First Line	:	1334 WESTWOOD BOULEVARD
Second Line	:	SUITE 2B
City	:	LA
State	:	CA
Zip	:	90024
Country	:	US
Telephone Number	:	310-475-7880
Fax Number	:	310-474-7401

Provider Business Practice Location Address
First Line	:	1334 WESTWOOD BLVD
Second Line	:	SUITE 2B
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4951
Country	:	US
Telephone Number	:	310-475-7880
Fax Number	:	310-474-7401

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

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	07/08/2007

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