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Tina Louise Derienzo, CPRP
Rehabilitation Practitioner in Lancaster, California
NPI 1568794972

Tina Louise Derienzo is a Rehabilitation Practitioner based in Palmdale, CA. Tina Louise Derienzo practices in Lancaster, CA and has the professional credentials of CPRP. The NPI Number for Tina Louise Derienzo is 1568794972 and holds a License No. (California).

The current practice location address for Tina Louise Derienzo is 506 W Jackman St, Lancaster, CA and can be reached out via phone at 661-726-2850 and via fax at 661-579-8367.

Location: 506 W Jackman St, Lancaster, CA, 93550-5694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568794972
Provider Name
Tina Louise Derienzo
Credential
CPRP
Provider Entity Type
Individual
Gender
Female
Address
506 W Jackman St, Lancaster, CA, 93550-5694
Phone Number
661-726-2850
Fax Number
661-579-8367
Provider Enumeration Date
02/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
506 W Jackman St
City
Lancaster
State
California
Zip
93534-2531
Phone Number
661-726-2850
Fax Number
661-579-8367
person
Provider Business Mailing Address Details
Address
506 W Jackman St
City
Lancaster
State
California
Zip
93534-2531
Phone Number
661-726-2850
Fax Number
661-579-8367
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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