Organization
WELLSPRING THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA LAN STEWART OTR, CHT (PRESIDENT)
(818) 637-2127
Entity
Organization
Contact information
Practice address
500 W GLENOAKS BLVD, GLENDALE, CA 91202-2813
(818) 637-2127
(818) 637-2126
Mailing address
500 W GLENOAKS BLVD, GLENDALE, CA 91202-2813
(818) 637-2127
(818) 637-2126
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
02/15/2008
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