Organization
REVIVE PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ASAD (PHYSICAL THERAPIST)
(818) 581-7409
Entity
Organization
Contact information
Practice address
19431 BUSINESS CENTER DR STE 2, NORTHRIDGE, CA 91324-6401
(818) 581-7409
Mailing address
19431 BUSINESS CENTER DR STE 2, NORTHRIDGE, CA 91324-6401
(818) 581-7409
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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