Organization
CELESTE RANDALL PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CELESTE RANDALL P.T. (PHYSICAL THERAPIST)
(818) 784-3096
Entity
Organization
Contact information
Practice address
5535 BALBOA BLVD, #216, ENCINO, CA 91316-1516
(818) 784-3096
(818) 786-3097
Mailing address
5535 BALBOA BLVD, #216, ENCINO, CA 91316-1516
(818) 784-3096
(818) 786-3097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8407
CA
Other
Enumeration date
08/21/2006
Last updated
09/18/2007
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