Provider Demographics
NPI:1316305543
Name:DEAN, ABIGAIL (PT, DPT, CSCS, RRS)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:DEAN
Suffix:
Gender:F
Credentials:PT, DPT, CSCS, RRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 KASHIWA ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4025
Mailing Address - Country:US
Mailing Address - Phone:916-905-0550
Mailing Address - Fax:
Practice Address - Street 1:3400 KASHIWA ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4025
Practice Address - Country:US
Practice Address - Phone:169-905-0550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-02
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60611222225100000X
TX1227397225100000X
CA300624225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist