Healthcare Provider Details
I. General information
NPI: 1487271821
Provider Name (Legal Business Name): FEMINOCENTRIC PHYSICAL THERAPY & WELLNESS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2020
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
133 N ALTADENA DR STE 415
PASADENA CA
91107-7334
US
IV. Provider business mailing address
133 N ALTADENA DR
PASADENA CA
91107-7325
US
V. Phone/Fax
- Phone: 626-386-3574
- Fax:
- Phone: 626-386-3574
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LINDA
LADAN
SAYYAD
Title or Position: PHYSICAL THERAPIST
Credential: PTDPT
Phone: 818-355-3254