Organization
REVAMP PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABKEN SARKISSIAN DPT (PRESIDENT)
(818) 254-8792
Entity
Organization
Contact information
Practice address
805 E BROADWAY STE A, GLENDALE, CA 91205-4527
(818) 254-8792
Mailing address
805 E BROADWAY STE A, GLENDALE, CA 91205-4527
(818) 254-8792
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT291985
CA
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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