Organization
LA ORTHOPEDIC AND PEDIATRIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MAZALIAN DPT, OCS (CFO/OWNER)
(818) 747-4189
Entity
Organization
Contact information
Practice address
16055 VENTURA BLVD STE 825, ENCINO, CA 91436-2617
(323) 680-5616
(323) 935-5933
Mailing address
16055 VENTURA BLVD STE 825, ENCINO, CA 91436-2617
(323) 680-5616
(323) 935-5933
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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