Organization
SOUTH PACIFIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DUQUE M.S. CCC (SLP)
(818) 986-1977
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD, ENCINO, CA 91436-2203
(818) 986-1977
Mailing address
16260 VENTURA BLVD, ENCINO, CA 91436-2203
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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