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Organization
REHABULOUS PHYSICAL THERAPY, INC.
Active
Organization
REHABULOUS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROSSANA AVILA PT, DPT (CEO/DOCTOR OF PHYSICAL THERAPY)
(650) 455-0605
Entity
Organization
Contact information
Practice address
12526 RIVERSIDE DRIVE, VALLEY VILLAGE, CA 91607
(650) 455-0605
Mailing address
11333 MOORPARK ST., SUITE 57, STUDIO CITY, CA 91602
(650) 455-0605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37451
CA
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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