Organization
ADVANCED PT & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SUAREZ (MANAGER)
(818) 886-4315
Entity
Organization
Contact information
Practice address
18531 ROSCOE BLVD, STE 215A, NORTHRIDGE, CA 91324-5462
(818) 886-4315
(818) 886-4316
Mailing address
18531 ROSCOE BLVD STE 215A, NORTHRIDGE, CA 91324-5462
(818) 886-4315
(818) 886-4316
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
06/26/2008
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