Organization
INCOURAGE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NDIDIAMAKA DILLIBE MATTHEWS DPT (OWNER)
(213) 924-4377
Entity
Organization
Contact information
Practice address
2693 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 722-8032
(626) 722-5100
Mailing address
582 ELDORA RD, PASADENA, CA 91104-3613
(213) 924-4377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT27434
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT27434
CA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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