Organization
UR THERAPIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR GAJENDRAN (CEO)
(310) 339-0450
Entity
Organization
Contact information
Practice address
17031 CHATSWORTH ST, GRANADA HILLS, CA 91344-5883
(818) 894-8974
Mailing address
407 AVENIDA DE JOSE, REDONDO BEACH, CA 90277-6611
(310) 497-8324
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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