Plonka, Derek Anthony

Plonka, Derek Anthony is an sole proprietor health care provider with primary practice located at 1821 Wilshire Blvd. Suite 605, Santa Monica CA 90403. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Other Service Providers / Acupuncturist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Plonka, Derek Anthony can be contacted via phone (310) 453-8668.

Contact Information

Primary practice address
1821 Wilshire Blvd. Suite 605 Santa Monica CA 90403
Phone: (310) 453-8668
Fax: (310) 453-8662
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 02322 Rhode Island
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT25134 California
Other Service Providers / Acupuncturist 171100000X 16420 California

Profile Details

NPI number 1912172438
LBN Legal business name Plonka, Derek Anthony
Credentials DPT, MTOM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2008
Last updated Apr 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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