Rapha House Physical Therapy INC
Clinic/Center, Physical Therapy in Lake Balboa, CA. Organization (NPI-2).
NPI number1104581685
StatusActive
Last updated in NPPESNov 1, 2021
Details
- NPI
- 1104581685
- Entity type
- Organization (NPI-2)
- Legal business name
- Rapha House Physical Therapy INC
- Organization subpart
- No
- Enumeration date
- Nov 1, 2021
- Certification date
- Nov 1, 2021
- Last updated
- Nov 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
16632 Haynes StLake Balboa, CA 91406-5619
Phone 747-200-5653
Mailing address
16350 Ventura Blvd Ste D-160Encino, CA 91436-5300
Authorized official
Marc Sondreal
President And Physical Therapist
7472005653
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