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NPI Code Detail

MEDICARE: OUTLOOK THERAPY CENTER, INC.

MEDICARE: OUTLOOK THERAPY CENTER, INC.
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
1261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number : 1992867543
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUTLOOK THERAPY CENTER, INC.
Provider Business Mailing Address
First Line : 2560 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3406
Country : US
Telephone Number : 626-440-0991
Fax Number : 626-405-0311
Provider Business Practice Location Address
First Line : 2560 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3406
Country : US
Telephone Number : 626-440-0991
Fax Number : 626-405-0311
Authorized Official
Title or Position : CEO,ADMINISTRATOR
Name : MR. GARABET HZOR
Credential :
Telephone Number : 626-440-0991
Provider Enumeration Date : 12/13/2006
Last Update Date : 03/27/2008

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Directions to “OUTLOOK THERAPY CENTER, INC. ” Practice Location

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