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Organization
WESTLAKE PHYSICAL THERAPY, INC.
Active
Organization
WESTLAKE PHYSICAL THERAPY, INC.
Active
Parent organization
WESTLAKE PHYSICAL THERAPY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTLAKE PHYSICAL THERAPY, INC.
Authorized official
MR. ANTHONY CARMEN VASQUEZ P.T. (P.T., OWNER, SECRETARY & TREASURER)
(805) 777-7370
Entity
Organization
Contact information
Practice address
110 JENSEN CT, SUITE 2C, THOUSAND OAKS, CA 91360-7483
(805) 413-1070
(805) 413-1076
Mailing address
1220 LA VENTA DR, SUITE 102, WESTLAKE VILLAGE, CA 91361-3703
(805) 777-7370
(805) 777-7380
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043236078
PRIMARY GROUP NPI #
CA
Enumeration date
02/27/2007
Last updated
11/06/2007
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