Provider First Line Business Practice Location Address:
18111 NORDHOFF ST.,
Provider Second Line Business Practice Location Address:
CSUN, DEPT OF PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
NORTHRIDGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91330-8411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-677-7256
Provider Business Practice Location Address Fax Number:
818-677-7411
Provider Enumeration Date:
10/06/2011