Organization
PON PHYSICAL THERAPY INC
Active
Organization
PON PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERT J PON (OWNER)
(818) 846-3385
Entity
Organization
Contact information
Practice address
1944 W GLENOAKS BLVD, GLENDALE, CA 91201-1644
(818) 846-3385
(818) 334-4922
Mailing address
1944 W GLENOAKS BLVD, GLENDALE, CA 91201-1644
(818) 846-3385
(818) 334-4922
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT18593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610466700
US DEPT OF LABOR
CA
01
—
OPT185930
BS OF CA
CA
Enumeration date
12/23/2005
Last updated
02/13/2014
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