Healthcare Provider Details

I. General information

NPI: 1134253859
Provider Name (Legal Business Name): SANTA CLARITA VALLEY THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25129 THE OLD RD STE 100
STEVENSON RANCH CA
91381-2281
US

IV. Provider business mailing address

25129 THE OLD RD STE 100
STEVENSON RANCH CA
91381-2281
US

V. Phone/Fax

Practice location:
  • Phone: 661-284-1984
  • Fax: 661-284-1991
Mailing address:
  • Phone: 661-284-1984
  • Fax: 661-284-1991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ELIA GRIS
Title or Position: CEO
Credential: PT
Phone: 661-284-1984