Provider First Line Business Practice Location Address:
13905 ADDISON ST.
Provider Second Line Business Practice Location Address:
HOME HEALTH PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
SHERMAN OAKS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-789-5653
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/02/2012