Omid Farvili P.T.

NPI 1114121035 - Physical Therapist - 225100000X

NPI Details
NPI 1114121035
Gender Male
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
130 LOUISE ST
GLENDALE CA, 91206, US
Phone (818) 343-2073
Fax (818) 343-2074
Business Location
6718 ANDASOL AVE
VAN NUYS CA, 91406-5412, US
Phone (818) 343-2073
Fax (818) 343-2074
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT25997
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According to our database, Omid Farvili P.T. NPI is 1114121035, taxonomy code is 225100000X and license number is PT25997, license state is located at California. Omid Farvili P.T. physically located at 130 Louise St, Glendale CA, 91206. NPI Number Omid Farvili P.T. has the Individual type.

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1114121035 NPI number is provided on an as is basis without warranty of any kind. 1114121035 is maintained by the National Plan & Provider Enumeration System. The contents of Omid Farvili P.T. are for informational purposes only.