Organization
CALIFORNIA THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY DAVID PEVNICK DPT, PT (PRESIDENT)
(310) 907-9215
Entity
Organization
Contact information
Practice address
12655 W JEFFERSON BLVD FL 4, LOS ANGELES, CA 90066-7008
(310) 907-9215
(310) 953-3281
Mailing address
12655 W JEFFERSON BLVD FL 4, LOS ANGELES, CA 90066-7008
(310) 907-9215
(310) 953-3281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/21/2020
Last updated
08/11/2020
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