Organization
MOVEMENT SYSTEM INSTITUTE PHYSIOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUREN MELIKSETYAN (OWNER)
(747) 777-0722
Entity
Organization
Contact information
Practice address
508 GLENWOOD RD APT 102, GLENDALE, CA 91202-1572
(747) 777-0722
Mailing address
508 GLENWOOD RD APT 102, GLENDALE, CA 91202-1572
(747) 777-0722
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT291137
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
10/09/2020
Last updated
10/09/2020
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