Organization
PACIFIC THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL FEUERBORN PT (PRESIDENT/STAFF THERAPIST)
(805) 850-0525
Entity
Organization
Contact information
Practice address
5550 TELEGRAPH RD, SUITE A, VENTURA, CA 93003-4254
(805) 850-0525
(805) 850-0526
Mailing address
5550 TELEGRAPH RD, SUITE A, VENTURA, CA 93003-4254
(805) 850-0525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
AT5146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB233265
MEDICARE
CA
Enumeration date
10/20/2006
Last updated
07/03/2017
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