Healthcare Provider Details

I. General information

NPI: 1548084114
Provider Name (Legal Business Name): ALLISON ESKENAZI PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13320 RIVERSIDE DR STE 208
SHERMAN OAKS CA
91423-2512
US

IV. Provider business mailing address

13320 RIVERSIDE DR STE 208
SHERMAN OAKS CA
91423-2512
US

V. Phone/Fax

Practice location:
  • Phone: 818-405-0800
  • Fax: 818-405-0801
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number307120
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: