MEDICARE: HEALING TOUCH PHYSICAL THERAPY & FITNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	0000831107-0001-9	CA

General Provider Information

NPI Number	:	1326282542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING TOUCH PHYSICAL THERAPY & FITNESS

Provider Business Mailing Address
First Line	:	7230 MEDICAL CTR. DR., #501
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307
Country	:	US
Telephone Number	:	818-340-9303
Fax Number	:	818-340-4839

Provider Business Practice Location Address
First Line	:	7230 MEDICAL CENTER DR STE 501
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-4029
Country	:	US
Telephone Number	:	818-340-9303
Fax Number	:	818-340-4839

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CAROL ANN CARDENAS
Credential	:	P.T.
Telephone Number	:	818-340-9303

Provider Enumeration Date	:	05/01/2009
Last Update Date	:	05/01/2009

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