Organization
FUSION ARTS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MORAN P.T. (OWNER)
(818) 788-2544
Entity
Organization
Contact information
Practice address
16430 VENTURA BLVD STE 100, ENCINO, CA 91436-2132
(818) 788-2544
(818) 788-2405
Mailing address
16430 VENTURA BLVD, STE 108, ENCINO, CA 91436-2115
(818) 788-2544
(818) 788-8303
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT14905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT14905
PT LICENSE
CA
Enumeration date
03/09/2011
Last updated
08/28/2024
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