| Henrietta Dsouza, | |
|
17227 Ventura Blvd, Encino, CA 91316-4007 | |
| (818) 990-9930 | |
| Not Available |
| Full Name | Henrietta Dsouza |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 17227 Ventura Blvd, Encino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679396857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Back2 Health Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053419408 PECOS PAC ID: 8527068246 Enrollment ID: O20070103000306 |
| Mailing Address | Practice Location Address |
|---|---|
| Henrietta Dsouza, Po Box 846915, Los Angeles, CA 90084-6915 Ph: (310) 246-1050 | Henrietta Dsouza, 17227 Ventura Blvd, Encino, CA 91316-4007 Ph: (818) 990-9930 |
Adam David Law, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17071 Ventura Blvd Ste 103, Encino, CA 91316 Phone: 818-232-4884 | |
Mrs. Rachel George, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5359 Balboa Blvd, Encino, CA 91316 Phone: 818-304-0990 Fax: 818-304-0996 | |
Advanced Therapy Ot Pt Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16573 Ventura Blvd Ste 8, Encino, CA 91436 Phone: 818-986-7266 Fax: 818-907-3890 | |
Peter Theodorus Otto Van Der Heide, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5500 Lindley Ave, Unit 121, Encino, CA 91316 Phone: 408-398-1163 | |
Ms. Bonnie M. Cardenas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5359 Balboa Blvd # A, Encino, CA 91316 Phone: 818-506-7821 Fax: 818-506-6722 | |
Speech Source Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15720 Ventura Blvd Ste 503, Encino, CA 91436 Phone: 818-788-4121 | |
Mrs. Jana Ampara Ashcraft, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16550 Ventura Blvd, Suite 400, Encino, CA 91436 Phone: 818-905-1331 Fax: 818-905-8836 |