Niles Physical Therapy | |
3959 Laurel Canyon Blvd, Suite L, Studio City, CA 91604-4921 | |
(818) 395-3953 | |
Not Available |
Full Name | Niles Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 3959 Laurel Canyon Blvd, Studio City, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730307760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5239 (California) | Primary |
Provider Name | Gail B Niles |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790995801 PECOS PAC ID: 1951450261 Enrollment ID: I20090515000432 |
Mailing Address | Practice Location Address |
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Niles Physical Therapy 3940 Laurel Canyon Blvd, No. 254, Studio City, CA 91604-3709 Ph: (818) 395-3953 | Niles Physical Therapy 3959 Laurel Canyon Blvd, Suite L, Studio City, CA 91604-4921 Ph: (818) 395-3953 |
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Miss Edelisa Rose Rustia Episcope, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11441 Ventura Blvd, Studio City, CA 91604 Phone: 818-980-8200 | |
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