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Organization
PHYSICAL THERAPY & SPORT INJURY REHABILITATION CENTER OF ENCINO
Active
Organization
PHYSICAL THERAPY & SPORT INJURY REHABILITATION CENTER OF ENCINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY F SARCHAD RPT (PHYSICAL THERAPIST)
(818) 789-4465
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, SUITE 955, ENCINO, CA 91436-2124
(818) 789-4465
(818) 789-0279
Mailing address
16311 VENTURA BLVD, SUITE 955, ENCINO, CA 91436-2124
(818) 789-4465
(818) 789-0279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164547741
INDIVIDUAL NPI NUMBER
CA
Enumeration date
04/12/2007
Last updated
06/04/2014
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