Our Lady of Providence Physical Therapy Clinic
NPI #1548293780 in North Hollywood, California
Provider Information
- NPI Number
- 1548293780
- Entity Type
- Organization
- Organization Name
- Our Lady of Providence Physical Therapy Clinic
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10843 MAGNOLIA BLVD STE 2
- City
- North Hollywood
- State
- California
- ZIP Code
- 91601-3922
- Phone
- (818) 506-4119
Authorized Official
- Name
- MRS. MARCELLE DEAIBES, R.P.T
- Title
- PRESIDENT/DIRECTOR
- Phone
- (818) 506-4119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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