Organization
LIFESPAN PHYSIOTHERAPY STAFFING, INC
Active
Other names
Lifespan Physical Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMIN SHAVERDIAN (PRESIDENT)
(858) 412-9349
Entity
Organization
Contact information
Practice address
2941 4TH AVE, SAN DIEGO, CA 92103
(619) 888-5838
(619) 568-3313
Mailing address
2941 4TH AVE, SAN DIEGO, CA 92103-5901
(619) 888-5838
(619) 568-3313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT34535
CA
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
PT34535
CA
Other
Enumeration date
08/24/2009
Last updated
04/11/2023
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