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Re Active Physical Therapy And Wellness
Neurology Physical Therapist in Los Angeles, California
NPI 1952650475

Re Active Physical Therapy And Wellness is a Neurology Physical Therapist based in Los Angeles, CA and is specialized in Neurology. Re Active Physical Therapy And Wellness practices in Los Angeles, CA. The NPI Number for Re Active Physical Therapy And Wellness is 1952650475 and holds a License No. 27665 (California).

The current practice location address for Re Active Physical Therapy And Wellness is 8830 S Sepulveda Blvd, Los Angeles, CA and can be reached out via phone at 310-433-0369 and via fax at 310-933-4803.

Location: 8830 S Sepulveda Blvd, Los Angeles, CA, 90045-4833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952650475
Provider Name
Re Active Physical Therapy And Wellness
Credential
Provider Entity Type
Organization
Address
8830 S Sepulveda Blvd, Los Angeles, CA, 90045-4833
Phone Number
310-433-0369
Fax Number
310-933-4803
Provider Enumeration Date
08/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8830 S Sepulveda Blvd
City
Los Angeles
State
California
Zip
90045-4833
Phone Number
310-433-0369
Fax Number
310-933-4803
person
Provider Business Mailing Address Details
Address
8830 S Sepulveda Blvd
City
Los Angeles
State
California
Zip
90045-4833
Phone Number
310-433-0369
Fax Number
310-933-4803
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Neurology
Taxonomy
2251N0400X
License No.
27665 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
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