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Organization

DSTRKT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROY PARAS BS, CPT, USATF, CPMT (OWNER/DIRECTOR)
(818) 245-5008
Entity
Organization

Contact information

Practice address
19851 NORDHOFF PL STE 104, CHATSWORTH, CA 91311-6616
(818) 245-5008
Mailing address
19851 NORDHOFF PL STE 104, CHATSWORTH, CA 91311-6616
(818) 245-5008

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
11/30/2020
Last updated
12/03/2020
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