Organization
J. V. THERAPY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VIVANCO P.T. (DIRECTOR)
(818) 899-5555
Entity
Organization
Contact information
Practice address
12502 VAN NUYS BLVD, 107, PACOIMA, CA 91331-1321
(818) 899-5555
(818) 899-5969
Mailing address
12502 VAN NUYS BLVD, 104, PACOIMA, CA 91331-1321
(818) 899-5555
(818) 899-5969
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT0203060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0203060
—
CA
Enumeration date
10/21/2008
Last updated
10/21/2008
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