Organization
SOUTH PACIFIC REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB COHEN P.T. (PRESIDENT)
(818) 986-1977
Entity
Organization
Contact information
Practice address
15216 VANOWEN ST, VAN NUYS, CA 91405-3601
(818) 986-1977
Mailing address
16260 VENTURA BLVD, 600, ENCINO, CA 91436-2203
(818) 986-1977
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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