Body Dynamix Integrated Sports Medicine, Inc | |
18344 Oxnard Street, Unit 104, Tarzana, CA 91356 | |
(818) 783-4085 | |
(818) 783-4065 |
Full Name | Body Dynamix Integrated Sports Medicine, Inc |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 18344 Oxnard Street, Tarzana, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912386376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (California) | Primary |
Provider Name | Keith Robertson |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1619033925 PECOS PAC ID: 6305944323 Enrollment ID: I20080506000802 |
Provider Name | Robert E Henry |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1306970900 PECOS PAC ID: 8820141914 Enrollment ID: I20090807000162 |
Provider Name | Max S Sterenson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033665831 PECOS PAC ID: 1052692472 Enrollment ID: I20161227000196 |
Provider Name | Danielle M. Cooper |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245740380 PECOS PAC ID: 7517233679 Enrollment ID: I20171018000933 |
Provider Name | Richard B Daniels |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194993816 PECOS PAC ID: 9537597562 Enrollment ID: I20200325000995 |
Provider Name | Edward D Stanislawski |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336317064 PECOS PAC ID: 3072942564 Enrollment ID: I20200407002883 |
Provider Name | Milena Popovic |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396370961 PECOS PAC ID: 6800219262 Enrollment ID: I20200702001176 |
Provider Name | Sawyer Stapp |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144910936 PECOS PAC ID: 0840644688 Enrollment ID: I20230927001443 |
Mailing Address | Practice Location Address |
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Body Dynamix Integrated Sports Medicine, Inc 18344 Oxnard Street, Unit 104, Tarzana, CA 91356 Ph: (818) 783-4085 | Body Dynamix Integrated Sports Medicine, Inc 18344 Oxnard Street, Unit 104, Tarzana, CA 91356 Ph: (818) 783-4085 |