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Mr. Larry Michael Sulham, PT
Pediatric Physical Therapist in Stevenson Ranch, California
NPI 1295973212

Larry Michael Sulham is a Pediatric Physical Therapist based in Stevenson Ranch, CA and is specialized in Pediatrics. Larry Michael Sulham practices in Stevenson Ranch, CA and has the professional credentials of PT. The NPI Number for Larry Michael Sulham is 1295973212 and holds a License No. PT009687 (California).

The current practice location address for Larry Michael Sulham is 25528 Magnolia Ln, Stevenson Ranch, CA and can be reached out via phone at 661-254-3369 and via fax at 661-253-4536.

Location: 25528 Magnolia Ln, Stevenson Ranch, CA, 91381-1843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295973212
Provider Name
Larry Michael Sulham
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
25528 Magnolia Ln, Stevenson Ranch, CA, 91381-1843
Phone Number
661-254-3369
Fax Number
661-253-4536
Provider Enumeration Date
01/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25528 Magnolia Ln
City
Stevenson Ranch
State
California
Zip
91381-1843
Phone Number
661-254-3369
Fax Number
661-253-4536
person
Provider Business Mailing Address Details
Address
25528 Magnolia Ln
City
Stevenson Ranch
State
California
Zip
91381-1843
Phone Number
661-254-3369
Fax Number
661-253-4536
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT009687 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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