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Organization
PRIME CARE THERAPEUTIC SERVICES INC.
Active
Organization
PRIME CARE THERAPEUTIC SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASMAT BININASHVILI (PRESIDENT)
(323) 893-5844
Entity
Organization
Contact information
Practice address
14435 HAMLIN ST STE 108, VAN NUYS, CA 91401-6205
(323) 893-5844
Mailing address
14435 HAMLIN ST STE 108, VAN NUYS, CA 91401-6205
(323) 893-5844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18811
CA
225X00000X
Occupational Therapist
9023
CA
Other
Enumeration date
07/15/2010
Last updated
10/15/2010
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