Organization
BESTWEST PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID TIMOTHY WILSON DPT (OWNER)
(818) 409-9913
Entity
Organization
Contact information
Practice address
801 S CHEVY CHASE DR, SUITE 100, GLENDALE, CA 91205-4431
(818) 409-9913
(818) 409-9911
Mailing address
801 S CHEVY CHASE DR, SUITE 100, GLENDALE, CA 91205-4431
(818) 409-9913
(818) 409-9911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPT24579B
PPIN MEDICARE PASADENA CA
CA
01
—
WPT24579C
PPIN MEDICARE GLENDALE CA
CA
01
—
WPT24579D
PPIN MEDICARE CULVER CITY
CA
Enumeration date
08/30/2006
Last updated
08/22/2020
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