Athletic Physical Therapy

NPI #1770715534 in Simi Valley, California

Provider Information

NPI Number: 1770715534
Entity Type: Organization
Organization Name: Athletic Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Aug 12, 2009
Last Updated: Aug 12, 2009

Practice Location

Address: 1464 MADERA RD
Address 2: SUITE G
City: Simi Valley
State: California
ZIP Code: 93065-3077
Phone: (805) 306-1622

Authorized Official

Name: MR. STEPHEN CLARK, DPT
Title: PRESIDENT
Phone: (818) 340-2002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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