Organization
CALIFORNIA REHABILITATION AND SPORTS THERAPY A CALIFORNIA PHYSICAL THER
Active
Organization
CALIFORNIA REHABILITATION AND SPORTS THERAPY A CALIFORNIA PHYSICAL THER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PACE (OWNER AND COO)
(213) 804-1712
Entity
Organization
Contact information
Practice address
11260 WILBUR AVE STE 101, NORTHRIDGE, CA 91326-2450
(818) 832-5656
Mailing address
2035 CORTE DEL NOGAL STE 200, CARLSBAD, CA 92011-1445
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
03/26/2025
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