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NPI Code Detail

MEDICARE: MR. JEFFREY CRAIG LOOX P.T., M.O.M.T.

MEDICARE:  MR. JEFFREY CRAIG LOOX  P.T., M.O.M.T.
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
1225100000XPhysical Therapist15747CA

General Provider Information

NPI Number : 1427108562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY CRAIG LOOX P.T., M.O.M.T.
Provider Business Mailing Address
First Line : 13540 VENTURA BLVD
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91423-3826
Country : US
Telephone Number : 818-990-0267
Fax Number : 818-990-0261
Provider Business Practice Location Address
First Line : 13540 VENTURA BLVD
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91423-3826
Country : US
Telephone Number : 818-990-0267
Fax Number : 818-990-0261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/08/2007

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Directions to “ MR. JEFFREY CRAIG LOOX P.T., M.O.M.T.” Practice Location

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