Custom P.t., A Physical Therapy Corp

NPI 1043342397 - Physical Therapist - 225100000X

NPI Details
NPI 1043342397
Enumeration Date 03/12/2007
Last Updated 11/07/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LINDA LINDA
Position OPERATIONS MANAGER
Phone (818) 592-6030
Fax (818) 592-6034
Practice Location
22122 SHERMAN WAY
SUITE 106
CANOGA PARK CA, 91303-1140, US
Phone (818) 592-6030
Fax (818) 592-6034
Business Location
325 ROLLING OAKS DRIVE
SUITE 210
THOUSAND OAKS CA, 91361-1088, US
Phone (805) 446-3141
Fax (805) 446-3140
Toxanomy
Taxonomy Code 225100000X
License State
License Number
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According to our database, Custom P.t., A Physical Therapy Corp NPI is 1043342397, taxonomy code is 225100000X Custom P.t., A Physical Therapy Corp physically located at 22122 Sherman Way, Canoga Park CA, 91303-1140. NPI Number 1033115704 has the healthcare provider type.

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1043342397 NPI number is provided on an as is basis without warranty of any kind. 1043342397 is maintained by the National Plan & Provider Enumeration System. The contents of Custom P.t., A Physical Therapy Corp are for informational purposes only.