Organization
TRANSFORMATIONAL LIFE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA R EDWARDS DPT (OWNER/MANAGER)
(323) 430-7954
Entity
Organization
Contact information
Practice address
711 E PALM AVE APT C, BURBANK, CA 91501-2142
(234) 607-9543
Mailing address
711 E PALM AVE APT C, BURBANK, CA 91501-2142
(323) 430-7954
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255646295
NPI
CA
Enumeration date
01/02/2019
Last updated
01/02/2019
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