Organization
LURIE PHYSICAL THERAPY PC
Active
Organization
LURIE PHYSICAL THERAPY PC
Active
Other names
Balance & Vestibular Center Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA D LURIE DPT (CEO)
(818) 232-4884
Entity
Organization
Contact information
Practice address
17071 VENTURA BLVD, SUITE 103, ENCINO, CA 91316-4130
(206) 250-3415
Mailing address
29139 FOUNTAINWOOD ST, AGOURA HILLS, CA 91301-1664
(206) 250-3415
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
37259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GG413A
MEDICARE PTAN
CA
Enumeration date
03/08/2012
Last updated
09/27/2023
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