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Organization
DYNAMIC AQUATIC & PHYSICAL THERAPY INC
Active
Organization
DYNAMIC AQUATIC & PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMID FARVILI PT (PRESIDENT)
(818) 343-2073
Entity
Organization
Contact information
Practice address
6718 ANDASOL AVE, VAN NUYS, CA 91406-5412
(818) 830-5050
(818) 830-5353
Mailing address
6718 ANDASOL AVE, VAN NUYS, CA 91406-5412
(818) 830-5050
(818) 830-5353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25997
CA
Other
Enumeration date
07/05/2006
Last updated
03/06/2013
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