Irehab Physiotherapy Intervention PC

NPI #1700151230 in La Crescenta, California

Provider Information

NPI Number: 1700151230
Entity Type: Organization
Organization Name: Irehab Physiotherapy Intervention PC
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 16, 2012
Last Updated: Mar 16, 2012

Practice Location

Address: 3030 MONTROSE AVE
Address 2: #109
City: La Crescenta
State: California
ZIP Code: 91214-3641
Phone: (818) 207-0529

Authorized Official

Name: JOEMAR D GERVACIO
Title: PRESIDENT
Phone: (818) 207-0529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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