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Organization
MID VALLEY PHYSICAL THERAPY, INC
Active
Organization
MID VALLEY PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEIDA RAHIMIAN RPT (OWNER)
(818) 259-3598
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD, SUITE # 305, ENCINO, CA 91436-1914
(818) 259-3598
(818) 992-5354
Mailing address
5824 MCDONIE AVE, WOODLAND HILLS, CA 91367-5501
(818) 992-5351
(818) 992-5354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18903
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT18903
CA LICENCE
CA
Enumeration date
07/30/2006
Last updated
08/22/2020
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