Organization
RAPHA HOUSE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC SONDREAL PT (PRESIDENT AND PHYSICAL THERAPIST)
(747) 200-5653
Entity
Organization
Contact information
Practice address
16632 HAYNES ST, LAKE BALBOA, CA 91406-5619
(747) 200-5653
Mailing address
16350 VENTURA BLVD STE D-160, ENCINO, CA 91436-5300
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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