Organization
LIFE ENERGY PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH DOVLATYAN DPT (PRESIDENT)
(323) 680-5378
Entity
Organization
Contact information
Practice address
1917 HILLHURST AVE STE 201, LOS ANGELES, CA 90027-2711
(323) 680-5378
(323) 657-5378
Mailing address
15149 SYLVAN ST, VAN NUYS, CA 91411-1918
(323) 680-5378
(323) 657-5378
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
35464
CA
Other
Enumeration date
08/12/2011
Last updated
08/12/2019
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