NPI | 1083038764 |
---|---|
Doing Business As | SILVER STRAND PHYSICAL THERAPY |
Doing Business As | SOCAL ELITE PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | NAVID HANNANVASH Owner 503-453-4841 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38257) |
2251G0304X Physical Therapist, Geriatrics (Licence: CA 38257) | |
2251N0400X Physical Therapist, Neurology (Licence: CA 38257) | |
2251P0200X Physical Therapist, Pediatrics (Licence: CA 38257) | |
2251S0007X Physical Therapist, Sports (Licence: CA 38257) | |
2251X0800X Physical Therapist, Orthopedic (Licence: CA 38257) | |
Enumeration Date | 2014-02-14 |
Last Update Date | 2021-08-09 |