Jam Sports INC
NPI #1962895805 in North Hollywood, California
Provider Information
- NPI Number
- 1962895805
- Entity Type
- Organization
- Organization Name
- Jam Sports INC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Mar 17, 2015
- Last Updated
- Jul 28, 2020
Practice Location
- Address
- 12813 VICTORY BLVD
- City
- North Hollywood
- State
- California
- ZIP Code
- 91606
- Phone
- (183) 924-9508
Authorized Official
- Name
- DR. JOSHUA ABRAHAM MAZALIAN, DPT
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (818) 392-4950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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