Organization
ADVANCE THERAPY PHYSICAL THERAPY CLINIC, INC
Active
Organization
ADVANCE THERAPY PHYSICAL THERAPY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAHAKYAN MARIAM (CEO)
(818) 240-5512
Entity
Organization
Contact information
Practice address
1415 E COLORADO ST STE 212, GLENDALE, CA 91205-1541
(818) 240-5512
Mailing address
1415 E COLORADO ST STE 212, GLENDALE, CA 91205-1541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25149
CA
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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