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Nicole Ariana Petrousian, PT, DPT

Physical Medicine & Rehabilitation in Burbank, CA. Individual provider (NPI-1).

NPI number1982196911
StatusActive
Last updated in NPPESJun 5, 2018

Details

NPI
1982196911
Entity type
Individual (NPI-1)
Name
Nicole Ariana Petrousian
Credential
PT, DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 5, 2018
Last updated
Jun 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationPT294829CAYes

Practice location

2001 W Alameda Ave
Burbank, CA 91506-2932

Phone 818-953-4444

Mailing address

2001 W Alameda Ave
Burbank, CA 91506-2932

Phone 818-953-4444

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