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Organization
MOORPARK PHYSICAL THERAPY & SPORT REHAB CENTER
Active
Organization
MOORPARK PHYSICAL THERAPY & SPORT REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL FACIANA PT, OCS, SCS, CSCS (OWNER)
(805) 530-3838
Entity
Organization
Contact information
Practice address
545 W LOS ANGELES AVE, MOORPARK, CA 93021-1709
(805) 530-3838
(805) 530-3832
Mailing address
545 W LOS ANGELES AVE, MOORPARK, CA 93021-1709
(805) 530-3838
(805) 530-3832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19246
CA
225100000X
Physical Therapist
PT24516
CA
225100000X
Physical Therapist
PT27148
CA
225100000X
Physical Therapist
PT28530
CA
225100000X
Physical Therapist
PT28978
CA
Other
Enumeration date
07/07/2006
Last updated
10/15/2007
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