Healthcare Provider Details

I. General information

NPI: 1245639764
Provider Name (Legal Business Name): STEVEN D NEWTON PHYSICAL THERAPIST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2014
Last Update Date: 08/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3413 W PACIFIC AVE 102
BURBANK CA
91505-1555
US

IV. Provider business mailing address

10040 MERITAGE CT
SUN VALLEY CA
91352-4203
US

V. Phone/Fax

Practice location:
  • Phone: 818-953-4444
  • Fax:
Mailing address:
  • Phone: 818-953-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT15811
License Number StateCA

VIII. Authorized Official

Name: DR. STEVEN DOUGLAS NEWTON
Title or Position: OWNER
Credential:
Phone: 310-880-6607