Divine Health Provider Physical Therapy INC
NPI #1386899763 in Simi Valley, California
Provider Information
- NPI Number
- 1386899763
- Entity Type
- Organization
- Organization Name
- Divine Health Provider Physical Therapy INC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Nov 26, 2008
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1687 ERRINGER RD STE 109
- City
- Simi Valley
- State
- California
- ZIP Code
- 93065-6509
- Phone
- (805) 581-4266
Authorized Official
- Name
- MR. JONAH TAN, MPT, PA-C
- Title
- DIRECTOR
- Phone
- (805) 581-4266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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