Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Diane Lisabeth Blagojevich, PT

Individual provider Physical Therapist · NPI 1386961779

Mrs. Diane Lisabeth Blagojevich, PT is a Physical Therapist in Redondo Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

510 N Prospect Ave Ste 105
Redondo Beach, CA 90277-3028
Phone: (310) 372-4646
Fax: (310) 798-4667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT16849 (CA)

Record details

NPI number1386961779
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 26, 2010
Last updated in NPPESApril 26, 2010

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