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Organization
CUSTOM P.T., A PHYSICAL THERAPY CORP
Active
Organization
CUSTOM P.T., A PHYSICAL THERAPY CORP
Active
Other names
Custom Physicial Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA PAOLONE (OPERATIONS MANAGER)
(805) 446-3141
Entity
Organization
Contact information
Practice address
22122 SHERMAN WAY, SUITE 106, CANOGA PARK, CA 91303-1140
(818) 592-6030
(818) 592-6034
Mailing address
325 ROLLING OAKS DRIVE, SUITE 210, THOUSAND OAKS, CA 91361-1088
(805) 446-3141
(805) 446-3140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
11/07/2014
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